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
- 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
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 and National Provider Directory roles.
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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.