RYNE ALEXANDRA DIDIER (MD) – Pediatric Radiology Physician, NPI 1104117209

Pediatric Radiology Physician

RYNE ALEXANDRA DIDIER (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. MD460951 (PA). The NPI Number for RYNE ALEXANDRA DIDIER (MD) is 1104117209

Main info

Female

16 Years Of Experience

Name

RYNE ALEXANDRA DIDIER (MD)

NPI

1104117209

Phone

(215) 590-1000

Address

3401 Civic Center Blvd

Enumeration Date

22 April 2011

Last Update Date

26 October 2022

Doctor Profile

Medical School Name

OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

6173556000

Graduation Year

2010 (16 years ago)

PAC ID

5597919878

Group Practice PAC ID

6901800861

Professional Enrollment ID

I20160928000151

Address ID

MA021150000BO300XXAVEN300

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience68

Completeness75

Years active:15State licenses:2Digital endpointsOther names

2,563 DIAGNOSTIC RADIOLOGY in PA

Provider Addresses for RYNE ALEXANDRA DIDIER (MD)

3401 Civic Center Blvd
CHOP RADIOLOGY
Philadelphia, PA 191045127
Phone: (215) 590-1000
Type: Location
3401 CIVIC CENTER BLVD
CHOP RADIOLOGY
PHILADELPHIA, PA 191045127
Phone: (215) 590-1000
Type: Mailing
300 LONGWOOD AVE
BOSTON, MA 021155724
Phone: (617) 355-6000
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: 2017-07-14

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20160928000151	I	Diagnostic Radiology	MA	TBD
I20170714001474	I	Diagnostic Radiology	PA	TBD

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 19104)

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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

Name	Specialty	State
DR. TINA YOUNG POUSSAINT (MD)	Diagnostic Radiology	MA
KRISTIN LEIGH HAUVUY (APRN, FNP-BC)	Nurse Practitioner	MA
DR. PATRICIA ELLEN GRANT (MD)	Diagnostic Radiology	MA
JOANNE MICHELLE RISPOLI (MD)	Diagnostic Radiology	MA
DR. CAROLINE D ROBSON (MBCHB)	Diagnostic Radiology	MA
DR. JUDY A ESTROFF (MD)	Diagnostic Radiology	MA
MISS SHREYA SOOD (M.D.)	-	MA
DR. RUSH HAMILTON CHEWNING (M.D.)	-	CA
DR. HARRIET J PALTIEL (MD)	Diagnostic Radiology, Nuclear Medicine	MA
DR. VALERIE L WARD (MD)	Diagnostic Radiology	MA

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Frequently asked questions

What number should I use to identify RYNE ALEXANDRA DIDIER (MD) for billing?

Administrative and clinical systems typically use NPI 1104117209 for RYNE ALEXANDRA DIDIER (MD).

Is RYNE ALEXANDRA DIDIER (MD)'s NPI status active today?

Active status means RYNE ALEXANDRA DIDIER (MD)'s NPI record is not deactivated in the public file.

What type of care does RYNE ALEXANDRA DIDIER (MD) provide?

RYNE ALEXANDRA DIDIER (MD)'s profile centers on Pediatric Radiology Physician. Clinical services aligned with this taxonomy classification.

Can patients visit RYNE ALEXANDRA DIDIER (MD) in Philadelphia, Pennsylvania?

For routing, start with Philadelphia, Pennsylvania for RYNE ALEXANDRA DIDIER (MD), then verify phone and hours locally.

Why is information missing for RYNE ALEXANDRA DIDIER (MD)?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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