Individual provider Active NPI

David Digiandomenico, PA-C

  • Internal Medicine Physician
  • Chuluota, FL
National Provider Identifier
1306431218
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
PA9114085 Issued in FL
Practice address
443 W County Road 419 Ste 1041
Chuluota, FL 32766-9520
Phone
(407) 366-2890
Fax
(407) 542-1012
NPI assigned
Mar 2, 2021
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X PA9114085 FL Primary

Addresses

Primary practice location

443 W County Road 419 Ste 1041
Chuluota, FL 32766-9520

Mailing address

382 Palm Dr
Oviedo, FL 32765-9532
Phone (954) 243-4239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250413000027 FL Practitioner - Physician Assistant 7214460302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1036 Dunn Ave
Suite 10
Jacksonville, FL 32218-6364
Phone (904) 903-5520

12421 S Orange Blossom TRL
Orlando, FL 32837-6508
Phone (904) 791-6213

210 S Lake St
Suite 4
Leesburg, FL 34748-7369
Phone (352) 314-9300

4780 N Orange Blossom TRL
Orlando, FL 32810-1601
Phone (407) 206-3326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9114085FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
H & H Medical Service PLC CurrentSince Mar 24, 2025 Accepting new patients

Locations

443 W County Road 419
Ste 1041
Chuluota, FL 32766
Phone (407) 366-2890

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22069/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1306431218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 PALM DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659532",
            "telephone_number": "954-243-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 W COUNTY ROAD 419 STE 1041",
            "city": "CHULUOTA",
            "state": "FL",
            "postal_code": "327669520",
            "telephone_number": "407-366-2890",
            "fax_number": "407-542-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIANDOMENICO",
        "first_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-02",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "PA9114085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chuluota, FL

Sources for this page

Verify at the official NPI Registry.