Individual provider Active NPI

Michael V Didonna, DO

  • Family Medicine Physician
  • Clearwater, FL
National Provider Identifier
1487096632
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS12855 Issued in FL
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
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210114000839 FL Practitioner - Family Practice 6204066988

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
James a. Diienno, D.C., P.a. PastSince Dec 11, 2020 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 and National Provider Directory roles.

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

Verify at the official NPI Registry.