Eleanor Dibiasio, MD
Radiology, Diagnostic Radiology in Providence, RI. Individual provider (NPI-1).
Details
- NPI
- 1164080925
- Entity type
- Individual (NPI-1)
- Name
- Eleanor Dibiasio
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2019
- Certification date
- Mar 18, 2024
- Last updated
- Mar 18, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | MD19713 | RI | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 290425 | MA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
593 Eddy StProvidence, RI 02903-4923
Phone 401-444-5174
Mailing address
125 Metro Center Blvd Ste 2000Warwick, RI 02886-1785
Phone 401-432-2500 · Fax 401-889-3619
Other practice locations
Brockton, MA 02302-3308
Phone 508-941-7000
Attleboro, MA 02703-3143
Phone 508-222-5200
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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