Individual provider Active NPI

Thomas Difato

  • Diagnostic Radiology Physician
  • Newport News, VA
National Provider Identifier
1417344292
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME150167 Issued in FL
Practice address
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone
(757) 594-3945
NPI assigned
Apr 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X ME150167 FL Primary

Addresses

Primary practice location

500 J Clyde Morris Blvd
Newport News, VA 23601-1929

Mailing address

500 J Clyde Morris Blvd
Newport News, VA 23601-1929

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210604000008 FL Practitioner - Diagnostic Radiology 9032404892 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Florida Atlantic University, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morton Plant Health Services IncGroup PAC ID 2163336777, 88 clinicians
Baycare Outpatient Imaging LLCGroup PAC ID 3577804087, 90 clinicians
Radiology Associates of ClearwaterGroup PAC ID 5496732067, 54 clinicians
St Josephs Diagnostic Center LLCGroup PAC ID 3779484928, 89 clinicians

Practice addresses (Care Compare)

2102 Trinity Oaks Blvd
Trinity, FL 34655-4409
Phone (727) 372-4000

2470 Bloomingdale Ave
Suite 115
Valrico, FL 33596-6403
Phone (727) 281-9390

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 462-7000

3003 W Dr MLK Blvd
Tampa, FL 33607-6307
Phone (813) 870-4826

3890 Tampa Rd
Palm Harbor, FL 34684-3676
Phone (813) 781-3164

400 Pinellas St
Suite 101
Clearwater, FL 33756-3312
Phone (727) 462-7514

8787 Bryan Dairy Rd
Largo, FL 33777-1251
Phone (727) 391-4758

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Morton Plant Mease Health Services, Inc Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Radiology Associates of Clearwater Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
St Joseph's Diagnostic Center LLC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Jan 2, 2026 Accepting new patients
Morton Plant Mease Health Services Inc Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
St Josephs Diagnostic Center LLC Diagnostic Radiology Current Accepting new patients
Morton Plant Mease Health Services Inc Diagnostic Radiology Current Accepting new patients
Baycare Outpatient Imaging LLC Diagnostic Radiology CurrentSince Jan 2, 2026 Accepting new patients
St Joseph's Diagnostic Center LLC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

323 Jeffords St
Clearwater, FL 33756
Phone (727) 462-7045

18600 Fernview St
Ste 101
Land O Lakes, FL 34638
Phone (813) 692-8010

3890 Tampa Rd
#H
Palm Harbor, FL 34684
Phone (813) 781-3164

3890 Tampa Rd
Palm Harbor, FL 34684
Phone (813) 781-3164

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

3003 W Mlk Blvd
Tampa, FL 33607
Phone (813) 357-0630

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

2470 Bloomingdale Ave
Ste 115
Valrico, FL 33596
Phone (727) 281-9479

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: tdifato694746@direct.hopkinsmedicine.org

Organizations & group practices 10

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 4

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": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1417344292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 J CLYDE MORRIS BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 J CLYDE MORRIS BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011929",
            "telephone_number": "757-594-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFATO",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME150167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.