ELEANOR DIBIASIO (MD) – Diagnostic Radiology Physician, NPI 1164080925

ELEANOR DIBIASIO (MD) is a healthcare provider. based in Walpole, Massachusetts. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 290425 (MA). The NPI Number for ELEANOR DIBIASIO (MD) is 1164080925

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ELEANOR DIBIASIO (MD)
NPI
1164080925
Phone
Not provided
Address
12 THOMAS ST
Enumeration Date
5 June 2019
Last Update Date
18 March 2024

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
5082225200
Graduation Year
2019 (7 years ago)
PAC ID
1355671637
Group Practice PAC ID
8022097815
Professional Enrollment ID
I20240510001878
Address ID
MA027033143AT211XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,897 DIAGNOSTIC RADIOLOGY in MA

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Provider Addresses for ELEANOR DIBIASIO (MD)

  • 12, Thomas Street, Walpole Heights, Walpole, Norfolk County, Massachusetts, 02081-3712, United States

    WALPOLE, MA 020814112

    Phone:

    Type: Mailing

  • Signature Healthcare Brockton Hospital, 680, Centre Street, Brockton, Plymouth County, Massachusetts, 02302, United States

    BROCKTON, MA 023023308

    Phone: (508) 941-7000

    Type: Location

  • 680 Centre St

    Brockton, MA 023023308

    Phone: (508) 941-7000

    Type: Location

  • 211 Park St

    Attleboro, MA 027033143

    Phone: (508) 222-5200

    Type: Location

  • 593 EDDY ST

    PROVIDENCE, RI 029034923

    Phone: (401) 444-5174

    Type: Location

  • 125 METRO CENTER BLVD STE 2000

    WARWICK, RI 028861785

    Phone: (401) 432-2500

    Fax: (401) 889-3619

    Type: Mailing

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: 2024-05-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240510000370IDiagnostic RadiologyRITBD
I20240510001878IDiagnostic RadiologyMATBD

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 02081)

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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: 8022097815View full group profile
NameSpecialtyState
Diagnostic RadiologyRI
Diagnostic RadiologyRI
Diagnostic RadiologyRI
-RI
Diagnostic RadiologyMA
Diagnostic RadiologyRI
Diagnostic RadiologyRI
Diagnostic RadiologyRI
Diagnostic RadiologyRI
Diagnostic Radiology, Nuclear MedicineRI

Reviews

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Frequently asked questions

What is the standard ID for ELEANOR DIBIASIO (MD) in the U.S.?
In the U.S., ELEANOR DIBIASIO (MD) is identified by NPI 1164080925.
Should I treat ELEANOR DIBIASIO (MD) as an active provider?
Patients and plans typically see ELEANOR DIBIASIO (MD) as active in the national extract.
How should patients interpret ELEANOR DIBIASIO (MD)'s specialty?
The extract shows Diagnostic Radiology Physician for ELEANOR DIBIASIO (MD). Clinical services aligned with this taxonomy classification.
Is ELEANOR DIBIASIO (MD) tied to Walpole, Massachusetts?
If you are local to Walpole, Massachusetts, ELEANOR DIBIASIO (MD) may be relevant to your search.
Why is information missing for ELEANOR DIBIASIO (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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