Individual provider Active NPI

Christopher Thomas Dibble, M.D., M.S.

  • Cardiovascular Disease Physician
  • Schenectady, NY
National Provider Identifier
1912955642
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
261528 Issued in NY
Practice address
2546 Balltown Rd
Schenectady, NY 12309-1079
Phone
(518) 377-8184
Fax
(518) 381-1696
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 261528 NY
Cardiovascular Disease Physician 207RC0000X 261528 NY Primary

Addresses

Primary practice location

2546 Balltown Rd
Schenectady, NY 12309-1079

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634

Other practice location 1

425 Guy Park Ave Ste 202
Amsterdam, NY 12010-1044
Phone (518) 842-7088

Other practice location 2

3757 Carman Rd Ste 103
Schenectady, NY 12303-5438
Phone (518) 881-0810

Other practice location 3

23 Arterial Plz # 30-A
Gloversville, NY 12078-2512
Phone (518) 773-2303

Other practice location 4

103 Sitterly Rd Ste 2100
Halfmoon, NY 12065-5646
Phone (518) 383-9373

Other practice location 5

115 Saratoga Rd Ste 230
Glenville, NY 12302-4226
Phone (518) 348-5300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111230000523 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pulmonary Disease 4284657156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pulmonary Disease
Education
Perelman School of Med at the University of Pennsylvania, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Peter'S Health Partners Medical Associates, P.C.Group PAC ID 6103061189, 480 clinicians

Practice addresses (Care Compare)

2 New Hampshire Ave
Troy, NY 12180-1764
Phone (518) 272-0331

Hospital & facility affiliations

  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153
  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047
  • Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Cobleskill Regional Hospital Hospital, Cobleskill, NY, CCN 331320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health Partners Medical Associates, P.C. Cardiovascular Disease CurrentSince Jan 1, 2021 Accepting new patients
Ellis Hospital CurrentSince Jan 29, 2012 Accepting new patients
Emerson Hospital Past Accepting new patients
Shuman Physical Therapy Associates, P.C. PastSince Nov 19, 2024 Accepting new patients
Community Care Physicians, PC Pulmonary Disease PastSince Jan 1, 1998 Accepting new patients
Fairport Physical Therapy, PC PastSince Oct 28, 2011 Accepting new patients
Pennsylvania Heart and Vascular Group, P.C. Cardiovascular Disease Past Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. Past Accepting new patients

Locations

425 Guy Park Ave
Ste 202
Amsterdam, NY 12010
Phone (518) 842-3330

23 Arterial Plz
#30A
Gloversville, NY 12078
Phone (518) 773-2303

103 Sitterly Rd
Ste 2100
Halfmoon, NY 12065
Phone (518) 383-9373

115 Saratoga Rd
Ste 230
Schenectady, NY 12302
Phone (518) 348-5300

3757 Carman Rd
Ste 103
Schenectady, NY 12303
Phone (518) 374-7371

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

2546 Balltown Rd
Ste 300
Schenectady, NY 12309
Phone (518) 377-8184

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

Interoperability endpoints

  • Direct secure messaging: cdibble@caspc.medentdirect.com

Organizations & group practices 8

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1912955642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634",
            "fax_number": "518-649-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 BALLTOWN RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123091079",
            "telephone_number": "518-377-8184",
            "fax_number": "518-381-1696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Guy Park Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Amsterdam",
            "state": "NY",
            "postal_code": "120101044",
            "country_code": "US",
            "telephone_number": "518-842-7088",
            "fax_number": "518-843-1324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3757 Carman Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123035438",
            "country_code": "US",
            "telephone_number": "518-881-0810",
            "fax_number": "518-881-0811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Arterial Plz # 30-A",
            "address_purpose": "LOCATION",
            "city": "Gloversville",
            "state": "NY",
            "postal_code": "120782512",
            "country_code": "US",
            "telephone_number": "518-773-2303",
            "fax_number": "518-773-3670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Sitterly Rd Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Halfmoon",
            "state": "NY",
            "postal_code": "120655646",
            "country_code": "US",
            "telephone_number": "518-383-9373",
            "fax_number": "518-383-4591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Saratoga Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Glenville",
            "state": "NY",
            "postal_code": "123024226",
            "country_code": "US",
            "telephone_number": "518-348-5300",
            "fax_number": "518-579-3194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIBBLE",
        "first_name": "CHRISTOPHER",
        "middle_name": "THOMAS",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "261528",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "261528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2546 Balltown Rd",
            "city": "Schenectady",
            "state": "NY",
            "country_code": "US",
            "postal_code": "123091079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.