NPIMap

Organization Active NPI

V.J. Dilella, D.O., L.L.C.

  • Family Medicine Physician
  • Dunedin, FL
National Provider Identifier
1265420541
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0006347 Issued in FL
Legal business name
V.J. DILELLA, D.O., L.L.C.
Practice address
703 Virginia St
Dunedin, FL 34698-6615
Phone
(727) 734-4000
Fax
(727) 738-5037
NPI assigned
Oct 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Vincent J. Dilella, D.O.NPI 1760471502
Title
President
Phone
(727) 734-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS0006347 FL Primary

Addresses

Primary practice location

703 Virginia St
Dunedin, FL 34698-6615

Mailing address

703 Virginia St
Dunedin, FL 34698-6615
Phone (727) 734-4000

Other identifiers 2

IdentifierTypeStateIssuer
21762OtherFLBCBS
268202800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031217000241 FL Part B Supplier - Clinic/Group Practice 1951208057 Receives reassigned benefits from 14 practitioners
Practice locations: Dunedin, FL

National Provider Directory

National Provider Directory

Locations

6719 Gall Blvd
Ste 201
Zephyrhills, FL 33542
Phone (813) 724-3868

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1265420541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 VIRGINIA ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986615",
            "telephone_number": "727-734-4000",
            "fax_number": "727-738-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 VIRGINIA ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986615",
            "telephone_number": "727-734-4000",
            "fax_number": "727-738-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V.J. DILELLA, D.O., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "DILELLA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-734-4000",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0006347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21762",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268202800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.