DANIEL ROBERT DIBLASI (D.O.) – Dermatology Physician, NPI 1275896045

DANIEL ROBERT DIBLASI (D.O.) is a healthcare provider. based in Fort hood, Texas. specializing in DERMATOLOGY. They hold the professional credentials D.O.. They hold a License No. 0102203553 (VA). The NPI Number for DANIEL ROBERT DIBLASI (D.O.) is 1275896045

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL ROBERT DIBLASI (D.O.)
NPI
1275896045
Phone
Not provided
Address
36065 SANTA FE AVE
Enumeration Date
18 June 2012
Last Update Date
24 March 2022

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
7193551585
Graduation Year
2012 (14 years ago)
PAC ID
3072908763
Group Practice PAC ID
9436209285
Professional Enrollment ID
I20220316000285
Address ID
CO809247023CO9348XPKWY401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,291 DERMATOLOGY in TX

Provider Addresses for DANIEL ROBERT DIBLASI (D.O.)

  • 36065 SANTA FE AVE

    FORT HOOD, TX 765445060

    Phone:

    Mailing address matches the actual address.

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: 2022-03-16

PECOS data refreshed: 2026-06-15

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
I20220316000285IDermatologyCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,093205$0
99213Established patient office or other outpatient visit, 20-29 minutes403365$0
17000Destruction of precancer skin growth, 1 growth303273$0
17110Destruction of skin growth, 1-14 growths242210$0
99203New patient office or other outpatient visit, 30-44 minutes213213$0
View full utilization report →

Insurance plans in this area (ZIP 76544)

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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: 9436209285View full group profile
NameSpecialtyState
Otolaryngology, Plastic And Reconstructive SurgeryCO
Physician AssistantMN
D E R M A T O L O G YTX
Nurse PractitionerCO
Physician AssistantCO
Physician AssistantNV
Dermatology, PathologyCO
D E R M A T O L O G YCO
Physician AssistantCO
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DANIEL ROBERT DIBLASI (D.O.)?
DANIEL ROBERT DIBLASI (D.O.) — NPI 1275896045 — is the standard way to identify this listing.
Does the file indicate DANIEL ROBERT DIBLASI (D.O.) is practicing under active NPI?
Directory data currently reports DANIEL ROBERT DIBLASI (D.O.) as active.
What healthcare role does DANIEL ROBERT DIBLASI (D.O.) hold?
Scheduling teams often label DANIEL ROBERT DIBLASI (D.O.) under Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where is DANIEL ROBERT DIBLASI (D.O.) based?
DANIEL ROBERT DIBLASI (D.O.) is tied to Fort Hood, Texas in the data we show; additional addresses may exist on the full record.
Is the information about DANIEL ROBERT DIBLASI (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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