Individual provider Active NPI

Devin Mark Ciliberti, MD

  • Obstetrics & Gynecology Physician
  • Sarasota, FL
National Provider Identifier
1386616340
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
151265 Issued in FL
Practice address
2401 University Pkwy Ste 201
Sarasota, FL 34243-2973
Phone
(941) 359-8300
NPI assigned
Feb 3, 2006
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 151265 FL Primary
General Practice Physician 208D00000X 19661 WV

Addresses

Primary practice location

2401 University Pkwy Ste 201
Sarasota, FL 34243-2973

Mailing address

2401 University Pkwy Ste 201
Sarasota, FL 34243-2973
Phone (941) 359-8300

Other practice location 1

97 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9816
Phone (304) 757-6999

Other practice location 2

116 Hills Plz
Charleston, WV 25387-2438
Phone (304) 720-4466

Other identifiers 3

IdentifierTypeStateIssuer
7306304OtherWVAETNA
1810857000MedicaidWV
001721078OtherWVMS BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, 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

Enrollment IDStateProvider typePAC IDDetails
I20040719001002 WV Practitioner - Obstetrics/Gynecology 6709865017 Reassigns benefits to 3 organizations
I20220428001191 FL Practitioner - Obstetrics/Gynecology 6709865017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CTD Network LLCGroup PAC ID 4486025087, 27 clinicians

Practice addresses (Care Compare)

1805 James L Redman Pkwy
Suite 201
Plant City, FL 33563-7012
Phone (813) 807-3338

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151265FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Manatee PA Obstetrics & Gynecology CurrentSince May 20, 2022 Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare, Inc CurrentSince Jan 1, 2010 Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Dec 8, 2022 Accepting new patients
Womencare Inc CurrentSince Aug 26, 2019 Accepting new patients
Womencare Inc Current Accepting new patients
CTD Network LLC General Practice CurrentSince Aug 26, 2025 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare, Inc Current Accepting new patients

Locations

1805 James L Redman Pkwy
#5412
Plant City, FL 33563

1805 James L Redman Pkwy
Ste 201
Plant City, FL 33563
Phone (305) 721-1101

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

108 Washington St W
#201
Charleston, WV 25302
Phone (304) 757-4845

116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446

830 Pennsylvania Ave
Ste 402
Charleston, WV 25302
Phone (304) 343-4177

503 Roosevelt Blvd
Eleanor, WV 25070
Phone (304) 586-0001

3911 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-4845

515 Main St
Madison, WV 25130
Phone (304) 369-0393

97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560

Interoperability endpoints

  • Direct secure messaging: dciliberti124055@direct.wvuhsdirect.com
  • FHIR API: https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1386616340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY STE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432973",
            "telephone_number": "941-359-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY STE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432973",
            "telephone_number": "941-359-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Great Teays Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Scott Depot",
            "state": "WV",
            "postal_code": "255609816",
            "country_code": "US",
            "telephone_number": "304-757-6999",
            "fax_number": "304-201-5019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 Hills Plz",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253872438",
            "country_code": "US",
            "telephone_number": "304-720-4466",
            "fax_number": "304-720-4821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CILIBERTI",
        "first_name": "DEVIN",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "151265",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "19661",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7306304",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1810857000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BCBS",
            "identifier": "001721078",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.