DR. DJIBY DIOP (M.D.) – Emergency Medicine Physician, NPI 1164562906

DR. DJIBY DIOP (M.D.) is a healthcare provider. based in Belleville, Illinois. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 036112709 (IL). The NPI Number for DR. DJIBY DIOP (M.D.) is 1164562906

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. DJIBY DIOP (M.D.)
NPI
1164562906
Phone
(774) 239-8983
Address
884 CALISTA RIDGE DR
Enumeration Date
8 February 2007
Last Update Date
6 March 2024

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
2512754043
Graduation Year
1985 (41 years ago)
PAC ID
3678524089
Group Practice PAC ID
2062649239
Professional Enrollment ID
I20100223000434
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. DJIBY DIOP (M.D.)

  • 884 CALISTA RIDGE DR

    BELLEVILLE, IL 622218302

    Phone: (774) 239-8983

    Type: Mailing

  • 4500 MEMORIAL DR

    BELLEVILLE, IL 622265360

    Phone: (618) 257-5879

    Fax: (618) 257-6740

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100223000434IEmergency MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62221)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062649239View full group profile
NameSpecialtyState
Family PracticeFL

Reviews

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Frequently asked questions

What identifier follows DR. DJIBY DIOP (M.D.) across health systems?
The NPI 1164562906 uniquely identifies DR. DJIBY DIOP (M.D.) in U.S. healthcare data.
Is DR. DJIBY DIOP (M.D.)'s NPI status active today?
Active status means DR. DJIBY DIOP (M.D.)'s NPI record is not deactivated in the public file.
What type of care does DR. DJIBY DIOP (M.D.) provide?
DR. DJIBY DIOP (M.D.)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. DJIBY DIOP (M.D.) in Belleville, Illinois?
For routing, start with Belleville, Illinois for DR. DJIBY DIOP (M.D.), then verify phone and hours locally.
Can I export DR. DJIBY DIOP (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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