Active NPIIndividual provider

Heather A Dibiasio, MD

Pediatrics, Adolescent Medicine in Wakefield, Rhode Island

NPI Number1639135783
Practice location
46 Holley St, Suite 2, Wakefield, RI 02879-3325
Fax
401-783-8156
Last updated
July 13, 2026

Heather A Dibiasio is a Pediatrics, Adolescent Medicine based in Wakefield, RI. Heather A Dibiasio practices in Wakefield, RI and has the professional credentials of MD. The NPI Number for Heather A Dibiasio is 1639135783 and holds a License No. MD11934 (RI). The current practice location address for Heather A Dibiasio is 46 Holley St, Suite 2, Wakefield, RI 02879-3325 and can be reached out via phone at 401-783-8008 and via fax at 401-783-8156.

Provider Profile Details

NPI Number
1639135783
Provider Name
Heather A Dibiasio
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
46 Holley St, Suite 2, Wakefield, RI 02879-3325
Phone Number
401-783-8008
Fax Number
401-783-8156
Primary Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X
Sole Proprietor
No
Provider Enumeration Date
April 25, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
46 Holley St
Suite 2
Wakefield, RI 02879-3325
Zip
02879-3325
Phone Number
401-783-8008
Fax Number
401-783-8156
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
48 Bow Run
Saunderstown, RI 02874-2470
City
Saunderstown
State
RI
Zip
02874-2470

License Information

License Number
MD11934
License State
RI
Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Heather A Dibiasio, MD?

The NPI number of Heather A Dibiasio, MD is 1639135783. It was assigned on April 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Heather A Dibiasio, MD?

Heather A Dibiasio, MD is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in RI under license number MD11934.

Where does Heather A Dibiasio, MD practice?

The practice location is 46 Holley St, Suite 2, Wakefield, RI 02879-3325. The office can be reached at 401-783-8008 (phone) or 401-783-8156 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639135783 directly on the NPPES registry website.

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