Mary Dibenedetto, PA
NPI 1538113295 · Medical Physician Assistant · Kettering, OH
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Dibenedetto, PA is a Medical Physician Assistant provider in Kettering, OH (NPI 1538113295).
Provider details
- NPI number
- 1538113295
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 003057 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2018-11-19
Frequently asked questions
- What is Mary Dibenedetto's NPI number?
- Mary Dibenedetto's National Provider Identifier (NPI) is 1538113295, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Dibenedetto's specialty?
- Mary Dibenedetto is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Dibenedetto located?
- Mary Dibenedetto's practice location on file with NPPES is 3075 Governors Place Blvd Ste 120, Kettering, OH 45409-1332.
- What is Mary Dibenedetto's phone number?
- The practice phone number listed in the NPPES registry for Mary Dibenedetto is (937) 424-2580.
- Does Mary Dibenedetto accept Medicare?
- Mary Dibenedetto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Dibenedetto's NPI active?
- Yes — Mary Dibenedetto's NPI (1538113295) is active in the NPPES registry as of the last update on 2018-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.