Nicholas N Dzebolo, MD - Medicare Diagnostic Radiology in Sacramento, CA

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Nicholas N Dzebolo, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Sacramento, California. He went to Hahnemann University College Of Medicine and graduated in 1973 and has 53 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Scranton Quincy Clinic Company Llc, Scranton Quincy Clinic Company Llc, Scranton Hospitalist Physician Services Llc, Mount Nittany Medical Center Health Services Inc, United Medical Imaging Healthcare Inc, Primcare Medical Center Inc, Health Diagnostics Of California A Professional Corporation, Healthier Lifestyle Medical Group Inc, Scranton Hospitalist Physician Services Llc, Glendale Diagnostic Imaging Network Medical Office Inc, Ghods Inc and his current practice location is 1765 Challenge Way Ste 130, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (916) 905-5363.

Nicholas N Dzebolo is licensed to practice in California (license number G036396) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1932239837.

Contact Information

Nicholas N Dzebolo, MD
1765 Challenge Way Ste 130,
Sacramento, CA 95815-5098
(916) 905-5363
(916) 877-7693

Map and Direction




Physician's Profile

Full NameNicholas N Dzebolo
GenderMale
SpecialityDiagnostic Radiology
Experience53 Years
Location1765 Challenge Way Ste 130, Sacramento, California
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicholas N Dzebolo attended and graduated from Hahnemann University College Of Medicine in 1973
  NPI Data:
  • NPI Number: 1932239837
  • Provider Enumeration Date: 03/07/2007
  • Last Update Date: 05/07/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3678464013
  • Enrollment ID: I20250409000385

Medical Identifiers

Medical identifiers for Nicholas N Dzebolo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932239837NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology G036396 (California)Secondary
2085R0202XRadiology - Diagnostic Radiology G036396 (California)Secondary
207RI0011XInternal Medicine - Interventional Cardiology G036396 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wilkes-barre General HospitalWilkes-barre, PAHospital
Regional Hospital Of ScrantonScranton, PAHospital
Mount Nittany Medical CenterState college, PAHospital
Geisinger-community Medical CenterScranton, PAHospital
Geisinger-lewistown HospitalLewistown, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Scranton Quincy Clinic Company Llc014348738969
Scranton Quincy Clinic Company Llc014348738969
Scranton Hospitalist Physician Services Llc771916383151
Mount Nittany Medical Center Health Services Inc8426136797372
United Medical Imaging Healthcare Inc014331124160
Primcare Medical Center Inc50922047353
Health Diagnostics Of California A Professional Corporation4284621525177
Healthier Lifestyle Medical Group Inc13557424536
Scranton Hospitalist Physician Services Llc771916383151
Glendale Diagnostic Imaging Network Medical Office Inc63058770513
Ghods Inc41830519986

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicholas N Dzebolo allows following entities to bill medicare on his behalf.
Entity NameScranton Hospitalist Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023317849
PECOS PAC ID: 7719163831
Enrollment ID: O20110525000205
Entity NameScranton Quincy Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508143074
PECOS PAC ID: 0143487389
Enrollment ID: O20120131000544

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas N Dzebolo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicholas N Dzebolo, MD
1100 Ridgeside Dr,
Monterey Park, CA 91754-3731

Ph: (626) 281-6442		Nicholas N Dzebolo, MD
1765 Challenge Way Ste 130,
Sacramento, CA 95815-5098

Ph: (916) 905-5363

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.