Individual provider Active NPI

Dimitri Zivko Pitovski, MD

  • Otolaryngology Physician
  • Wilmington, NC
National Provider Identifier
1588034144
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2007-01377 Issued in NC
Practice address
1099 Medical Center Dr Unit 100B
Wilmington, NC 28401
Phone
(910) 399-2882
Fax
(866) 336-5949
NPI assigned
Sep 25, 2015
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X 2007-01377 NC
Otolaryngology Physician 207Y00000X 2007-01377 NC Primary
Allergy & Immunology Physician 207K00000X 2007-01377 NC
Otolaryngic Allergy Physician 207YX0602X 2007-01377 NC

Addresses

Primary practice location

1099 Medical Center Dr Unit 100B
Wilmington, NC 28401

Mailing address

1098 Medical Center Dr Ste a
Wilmington, NC 28401-7365
Phone (910) 399-2882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20051103000973 NC Practitioner - Otolaryngology 9537187927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1099 Medical Ctr Dr
Suite 100B
Wilmington, NC 28401-7367
Phone (866) 250-7400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007-01377NCMDClinical & Laboratory Immunology (Allergy & Immunology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summer Wellnessllp CurrentSince Jan 1, 2018 Accepting new patients
Allergycorp Group, LLC Allergy & Immunology CurrentSince Nov 1, 2015 Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients
Aca Laboratories PastSince Mar 30, 2011 Accepting new patients
Allergy Centers of America LLC PastSince Jun 10, 2003 Accepting new patients

Locations

5409 W Friendly Ave
Greensboro, NC 27410
Phone (336) 218-0994

6614 Shallowford Rd
Ste 100
Lewisville, NC 27023
Phone (336) 945-0277

1099 Medical Center Dr
Ste 100B
Wilmington, NC 28401
Phone (866) 250-7400

Organizations & group practices 5

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": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1588034144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 MEDICAL CENTER DR STE A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017365",
            "telephone_number": "910-399-2882",
            "fax_number": "866-336-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MEDICAL CENTER DR UNIT 100B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28401",
            "telephone_number": "910-399-2882",
            "fax_number": "866-336-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITOVSKI",
        "first_name": "DIMITRI",
        "middle_name": "ZIVKO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-25",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "NC",
            "license": "2007-01377",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2007-01377",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "2007-01377",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NC",
            "license": "2007-01377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.