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NPI · 1073757464 · NPPES-sourced

Michael R Dibenedetto MD PLLC

ActivePlastic and Reconstructive Surgery Physician
NPI Number
1073757464
Type 2 · Organisation
Contact
(208) 263-5900
License ID · M10671
Last Updated
About 16 years ago (Oct 2009)
Enumerated 2009-04-29
Primary practice addressID · 83852-5005
30544 Highway 200, Suite 102Ponderay, ID 83852-5005
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About this NPIWhat this record shows.

NPI 1073757464 is registered to Michael R Dibenedetto MD PLLC, a healthcare organisation classified as "Plastic and Reconstructive Surgery Physician" and located at 30544 Highway 200, Suite 102 in Ponderay, Idaho. The organisation's authorised official is Wendy Brosnahan. The organisation has been enumerated in the NPI registry since 2009.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2009-04-29
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • DG3627ID· Issued by RAIL ROAD MEDICARE
  • 8N834ID· Issued by BLUE CROSS

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Michael R Dibenedetto MD PLLC accepts. To confirm in-network status with your specific health plan, contact Michael R Dibenedetto MD PLLC directly at (208) 263-5900.

Frequently asked

Yes. NPI 1073757464 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Plastic and Reconstructive Surgery Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (208) 263-5900.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Michael R Dibenedetto MD PLLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy2086S0122X
Last updated2009-10
Enumerated2009-04-29
StatusActive
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8 records · same addressOther providers at this location.

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Same specialtyOther Plastic and Reconstructive Surgery Physician providers in Idaho.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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