Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael C Dicello, MD

Individual provider Allergy & Immunology Physician · NPI 1720083173

Dr. Michael C Dicello, MD is an Allergy/Immunology in Bozeman, Montana. Graduated from Ohio State University College of Medicine in 1994, 32 years ago. Practices with Equanimity Health Care PC, a 2-clinician group and accepts Medicare assignment. Licensed in Montana and Vermont.

Years since qualifying
32
Trained at
Ohio State University College of Medicine
Licensed in
MT, VT
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1188 N 15th Ave Ste 3
Bozeman, MT 59715-3290
Phone: (406) 582-1111
Fax: (406) 582-1112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 11976 (MT)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence 42-000-9879 (VT)

Record details

NPI number1720083173
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2005
Last updated in NPPESJuly 28, 2023
Certification dateJuly 28, 2023
Mailing address1188 N 15th Ave Ste 3, Bozeman, MT 59715-3290

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyALLERGY/IMMUNOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Equanimity Health Care Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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