NPPES file of Aug 9, 2026

Michael R Dibenedetto Md PLLC in Ponderay, ID

This location of Michael R Dibenedetto Md bills under NPI 1073757464, an organization record issued on Apr 29, 2009 with the primary taxonomy Plastic and Reconstructive Surgery Physician. It is one of 2 NPIs registered under this name and one of 2 in Ponderay; each clinician who sees you there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1073757464
Legal name
Michael R Dibenedetto Md PLLC
Entity
Type 2 · organization, a subpart
Parent organization
Michael R Dibenedetto Md PLLC
Primary taxonomy
Plastic and Reconstructive Surgery Physician 2086S0122X
Practice location
30544 HIGHWAY 200 SUITE 102, Ponderay, ID 83852
Phone
208-263-5900
Enumerated
Apr 29, 2009
Record updated
Oct 21, 2009
Authorized official
Office Manager (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

The other Ponderay NPI

  1. Michael R Dibenedetto Md PLLC30544 HWY 200 STE 102 · issued Sep 6, 20071083809727

9 clinicians CMS lists with Michael R Dibenedetto Md in Ponderay

  1. Joan Bloom, MDFamily Medicine Physician1033229307
  2. Audrey Buck, RDRegistered Dietitian1427265453
  3. Michael Dibenedetto, MDOrthopaedic Surgery Physician1679644397
  4. Jonathan Fisher, DPMFoot & Ankle Surgery Podiatrist1891969606
  5. Lisa Galasso, MDOrthopaedic Surgery Physician1205326675
  6. Rebecca KlaeuiRegistered Dietitian1720704141
  7. Kate Reidy, FNP-CFamily Nurse Practitioner1134720196
  8. Michael Schicker, DOSports Medicine (Orthopaedic Surgery) Physician1861774291
  9. Travis Taylor, FNP-C, CRNFAFamily Nurse Practitioner1255597811

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

All 2 Michael R Dibenedetto Md NPIs

Every location registered under this name, in 1 city.

See every location

Checking an organization

  1. Confirm the business with the Idaho secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

Common questions

What does subpart mean?

The organization registered this NPI as a subpart: a part of the organization, such as a location, that bills under its own NPI.

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Which Ponderay NPI should I use?

Ask the office which NPI it bills under; all 2 Ponderay NPIs are registered under the same name.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.