Active NPI
Brent Austin Dibble, M.D./M.B.A.
- Emergency Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101265998
- Practice address
- 550 First Avenue
NYU Langone Medical Center
New York, NY 10016 - Phone
- (212) 263-5506
- NPI assigned
- May 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101265998 | VA | Primary |
| Emergency Medicine Physician | 207P00000X | 288896 | NY |
Addresses
Primary practice location
550 First Avenue
NYU Langone Medical Center
New York, NY 10016
Mailing address
550 First Avenue
NYU Langone Medical Center
New York, NY 10016
Phone (212) 263-5506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 288896 | NY | MD | Emergency Medicine Physician |
| 0101265998 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Single Specialty | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Single Specialty | Current | Accepting new patients |
| Inova Health Care Services | Single Specialty | Current | Accepting new patients |
| Emergency Medicine Associates, P.a.,P.C. | Single Specialty | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Inova Health Care Services | Single Specialty | Current | Accepting new patients |
Locations
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
Interoperability endpoints
- bdibble589816@direct.healthsystem.virginia.edu
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC, Single Specialty
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
Single Specialty
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
DC, Single Specialty
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Diagnostic Radiology Physician
- Waldorf, MD
- NPI 1851829550
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1841677150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 FIRST AVENUE",
"address_2": "NYU LANGONE MEDICAL CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-263-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 FIRST AVENUE",
"address_2": "NYU LANGONE MEDICAL CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-263-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIBBLE",
"first_name": "BRENT",
"middle_name": "AUSTIN",
"credential": "M.D./M.B.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-06",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101265998",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "NY",
"license": "288896",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.