Individual provider Active NPI

Michael Francis Divella, DO

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Washington, PA
National Provider Identifier
1194258277
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
OS023838 Issued in PA
Practice address
95 Leonard Ave
Ste 202
Washington, PA 15301-3368
Phone
(724) 206-0610
Fax
(724) 503-4156
NPI assigned
Apr 6, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 05023838 PA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X OS023838 PA Primary

Addresses

Primary practice location

95 Leonard Ave
Ste 202
Washington, PA 15301-3368

Mailing address

95 Leonard Ave
Ste 202
Washington, PA 15301-3368
Phone (724) 206-0610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126002311 PA Practitioner - Orthopedic Surgery 4183960958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of New England, College of Osteo Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Physician ServicesGroup PAC ID 6103719562, 106 clinicians

Practice addresses (Care Compare)

155 Wilson Ave
Washington, PA 15301-3336

190 N Main St
Suite 204
Washington, PA 15301-4395
Phone (724) 225-9970

95 Leonard Ave
Washington, PA 15301-3368

Hospital & facility affiliations

  • Concordia Visiting Nurses Home health agency, Cabot, PA, CCN 397717
  • Washington Hospital, the Hospital, Washington, PA, CCN 390042

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05023838PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Physician Services Sports Medicine CurrentSince Sep 16, 2024 Accepting new patients

Locations

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

95 Leonard Ave
Bldg 2
Washington, PA 15301
Phone (724) 223-3100

95 Leonard Ave
Ste 202
Washington, PA 15301
Phone (252) 757-2663

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1194258277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 LEONARD AVE",
            "address_2": "STE 202",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013368",
            "telephone_number": "724-206-0610",
            "fax_number": "724-503-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 LEONARD AVE",
            "address_2": "STE 202",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013368",
            "telephone_number": "724-206-0610",
            "fax_number": "724-503-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVELLA",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-06",
        "last_updated": "2025-08-11",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "05023838",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": "OS023838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.