Active NPI
Michael V Didonna, DO
- Family Medicine Physician
- Clearwater, FL
National Provider Identifier
1487096632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS12855
- Practice address
- 28960 US Highway 19 N Ste 112
Clearwater, FL 33761-2403 - Phone
- (727) 935-1933
- Fax
- (727) 940-8047
- NPI assigned
- Jul 29, 2013
- Last updated
- Aug 18, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS12855 | FL | Primary |
Addresses
Primary practice location
28960 US Highway 19 N Ste 112
Clearwater, FL 33761-2403
Mailing address
28960 US Highway 19 N Ste 112
Clearwater, FL 33761-2403
Phone (727) 888-3043
Other practice location 1
1730 S Pinellas Ave Ste J
Tarpon Springs, FL 34689-1953
Phone (727) 888-3043
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210114000839 | FL | Practitioner - Family Practice | 6204066988 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS12855 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James a. Diienno, D.C., P.a. | Past | Accepting new patients |
Organizations & group practices 1
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": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1487096632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28960 US HIGHWAY 19 N STE 112",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612403",
"telephone_number": "727-888-3043",
"fax_number": "727-940-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28960 US HIGHWAY 19 N STE 112",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612403",
"telephone_number": "727-935-1933",
"fax_number": "727-940-8047"
}
],
"practiceLocations": [
{
"address_1": "1730 S Pinellas Ave Ste J",
"address_purpose": "LOCATION",
"city": "Tarpon Springs",
"state": "FL",
"postal_code": "346891953",
"country_code": "US",
"telephone_number": "727-888-3043",
"fax_number": "727-940-8047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIDONNA",
"first_name": "MICHAEL",
"middle_name": "V",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-29",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS12855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.