Stania Ayanna Dejesus, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS18223 Issued in FL

Practice address

1903 E Fletcher Ave
Tampa, FL 33612-3713

Phone

(813) 344-1084

NPI assigned

Jun 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, FL2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

V.J. Dilella, D.O., L.L.C.Group PAC ID 1951208057, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morton Plant North Bay Hospital Hospital, New Port Richey, FL, CCN 100063

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• V.J. Dilella, D.O., L.L.C.

  • Family Medicine Physician
  • Dunedin, FL
  • NPI 1265420541
  Medicare reassignment Care Compare group NPD
• Dedicated Senior Medical Center of Florida, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1881055366
  Medicare reassignment NPD
• Charleston Carenow Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Goose Creek, SC
  • NPI 1093248288
  Medicare reassignment NPD
• Curana Health of South Carolina PC

  • Internal Medicine Physician
  • North Charleston, SC
  • NPI 1316477896
  Medicare reassignment NPD
• Family Wellness Center of Charleston, LLC

  • Clinic/Center
  • North Charleston, SC
  • NPI 1619367745
  NPD Authorized official
• Dedicated Senior Medical Center of Florida, LLC

  • Specialist
  • Tampa, FL
  • NPI 1700393881
  NPD
• Gray'S Pain Relief Center, LLC

  • Sports Physician Chiropractor
  • Goose Creek, SC
  • NPI 1609051036
  NPD (past)

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

• Morton Plant Hospital Association Inc

  • General Acute Care Hospital
  • New Port Richey, FL
  • NPI 1437135811
  Care Compare affiliation

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1205097516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "813-344-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123713",
            "telephone_number": "813-344-1084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1903 E Fletcher Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336123713",
            "country_code": "US",
            "telephone_number": "813-344-1084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "447 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Walterboro",
            "state": "SC",
            "postal_code": "294882766",
            "country_code": "US",
            "telephone_number": "843-549-6331",
            "fax_number": "843-549-6332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "STANIA",
        "middle_name": "AYANNA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS18223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anelys Marie Deida Acevedo
• Jennifer L Deien, M.S., BCBA
• Brian J Deignan, MD
• Waldetrudis Dejesus-Achecar, BS
• Gisella Dejesus
• Kelly E Dejonge, DPT
• Victoria Marie Dekeyser
• Mary Karla Del Catillo-Rojas, RBT-24-346689
• Amanda N. Del Cueto, DMD
• Daymi Del Pino Lopez, RBT

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.