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.
- 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)
The other Ponderay NPI
- Michael R Dibenedetto Md PLLC30544 HWY 200 STE 102 · issued Sep 6, 20071083809727
9 clinicians CMS lists with Michael R Dibenedetto Md in Ponderay
- Joan Bloom, MDFamily Medicine Physician1033229307
- Audrey Buck, RDRegistered Dietitian1427265453
- Michael Dibenedetto, MDOrthopaedic Surgery Physician1679644397
- Jonathan Fisher, DPMFoot & Ankle Surgery Podiatrist1891969606
- Lisa Galasso, MDOrthopaedic Surgery Physician1205326675
- Rebecca KlaeuiRegistered Dietitian1720704141
- Kate Reidy, FNP-CFamily Nurse Practitioner1134720196
- Michael Schicker, DOSports Medicine (Orthopaedic Surgery) Physician1861774291
- Travis Taylor, FNP-C, CRNFAFamily Nurse Practitioner1255597811
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Every location registered under this name, in 1 city.
See every locationChecking an organization
- Confirm the business with the Idaho secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- 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.