STEPHANIE A DIPERNA (M.D.) – Diagnostic Radiology Physician, NPI 1891914933

STEPHANIE A DIPERNA (M.D.) is a healthcare provider. based in Watertown, Massachusetts. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 231387 (MA). The NPI Number for STEPHANIE A DIPERNA (M.D.) is 1891914933

Main info

Female
24 Years Of Experience
Name
STEPHANIE A DIPERNA (M.D.)
NPI
1891914933
Phone
(617) 667-3532
Address
20 WATERTOWN ST
Enumeration Date
25 April 2007
Last Update Date
13 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6173556000
Graduation Year
2002 (24 years ago)
PAC ID
9133208432
Group Practice PAC ID
6901800861
Professional Enrollment ID
I20080512000032
Address ID
MA021150000BO300XXAVEN300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,952 DIAGNOSTIC RADIOLOGY in MA

Provider Addresses for STEPHANIE A DIPERNA (M.D.)

  • 20 WATERTOWN ST

    APT. #436

    WATERTOWN, MA 024722505

    Phone: (617) 667-3532

    Type: Mailing

  • BIDMC, RADIOLOGY SERVICE

    330 BROOKLINE AVE.

    BOSTON, MA 02215

    Phone: (617) 667-3532

    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: 2008-05-12

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
I20080512000032IDiagnostic 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 02472)

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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: 6901800861View full group profile
NameSpecialtyState
Diagnostic RadiologyMA
Nurse PractitionerMA
Diagnostic RadiologyMA
Diagnostic RadiologyMA
Diagnostic RadiologyMA
Diagnostic RadiologyMA
-MA
-CA
Diagnostic Radiology, Nuclear MedicineMA
Diagnostic RadiologyPA

Reviews

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Frequently asked questions

What federal number belongs to STEPHANIE A DIPERNA (M.D.)?
The federal identifier for STEPHANIE A DIPERNA (M.D.) is NPI 1891914933.
Is STEPHANIE A DIPERNA (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is STEPHANIE A DIPERNA (M.D.)?
The page reflects Diagnostic Radiology Physician for STEPHANIE A DIPERNA (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for STEPHANIE A DIPERNA (M.D.)?
We surface Watertown, Massachusetts for STEPHANIE A DIPERNA (M.D.) based on available NPPES addresses.
Is STEPHANIE A DIPERNA (M.D.) a real provider?
This page reflects official NPPES data for NPI 1891914933. Always confirm identity and privileges with the practice and licensing boards.

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