NPPES file of Aug 9, 2026

Robert J. Diecidue, DMD, MD

Oral & Maxillofacial Surgery (D.M.D.) · Philadelphia, PA

Robert J. Diecidue, DMD, MD is an oral & maxillofacial surgery (d.m.d.) with a practice address in Philadelphia, Pennsylvania, and NPI 1225069818, issued on Jul 5, 2006. Check the license (Pennsylvania MD421272, as entered in NPPES) with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.

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

NPPES recordNPPES file of Aug 9, 2026
1225069818
Name
Robert J. Diecidue
Credential
DMD, MD
Primary taxonomy
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X
License numbers
MD421272 PA
DS026243L PA
Self-reported in NPPES; status is on the state search
Practice location
909 Walnut St, Philadelphia, PA 19107
Phone
(215) 955-6215
Enumerated
Jul 5, 2006
Record last updated
Aug 23, 2019 (not updated in 7 years: call before relying on the address or phone)
Fax
(215) 923-9189
Medicaid ID
0012768190002 PA
Medicare enrollment
Enrolled (PECOS I20100511000969); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 909 Walnut St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Timothy Ambrose, M.D.Neurology Physician1013237981
  2. David Andrews, M.D.Neurological Surgery Physician1518987890
  3. Evan AnschuetzDentist1467395616
  4. Babar Bashir, M.D.Medical Oncology Physician1073892626
  5. Rodney Bell, M.D.Neurology Physician1376566984
  6. Ariel Bermudez, DMDDentist1285520627

Verify Robert J. Diecidue in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
    Search for license MD421272
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Jefferson University PhysiciansPhiladelphia, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Robert J. Diecidue among 86 oral & maxillofacial surgery (d.m.d.) records in Pennsylvania

Robert J. Diecidue, DMD, MD is one of 86 oral & maxillofacial surgery (d.m.d.) records with a practice address in Pennsylvania. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.

  • NPI issued2006 · 8% of these records are older, 49% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 49% of these records are
  • Graduated1988 · median 2009 among the 42 with a school on file
  • Record last updated2019 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 204E00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Oral & Maxillofacial Surgery (D.M.D.) providers in Pennsylvania

There are 86 oral & maxillofacial surgery (d.m.d.) records in Pennsylvania.

The 8 oral & maxillofacial surgery (d.m.d.) records with the nearest ZIP codes

  1. Nabil Abaza, DMDPhiladelphia, PA 191071497700272
  2. Allen Champion, DDSPhiladelphia, PA 191071245215508
  3. Austin Hale, DDSPhiladelphia, PA 191071154989556
  4. Yaniv Harel, D.M.DPhiladelphia, PA 191071881009371
  5. Shachika Khanna, DMDPhiladelphia, PA 191071427217694
  6. Sean Lim, DMDPhiladelphia, PA 191071245885060
  7. Daniel Taub, DDS, MDPhiladelphia, PA 191071609811066
  8. Andrew Yampolsky, DDS, MDPhiladelphia, PA 191071053620815

Common questions

What is Robert J. Diecidue, DMD, MD's NPI number?

Robert J. Diecidue, DMD, MD's National Provider Identifier (NPI) is 1225069818, issued on Jul 5, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Robert J. Diecidue, DMD, MD located?

The NPPES record lists a practice address at 909 Walnut St, Philadelphia, PA, 19107. Phone: (215) 955-6215. Providers update this record themselves, so call before visiting.

How can I verify Robert J. Diecidue, DMD, MD's license?

NPPES lists Pennsylvania license number MD421272, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.