Individual provider Active NPI

Dimitri Mitchel Gitelmaker, M.D.

  • Internal Medicine Physician
  • Hollywood, FL
National Provider Identifier
1609020098
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME142875 Issued in FL
Practice address
3800 S Ocean Dr Ste 230
Hollywood, FL 33019-2930
Phone
(732) 266-1399
Fax
(786) 677-8797
NPI assigned
Nov 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME142875 FL Primary

Addresses

Primary practice location

3800 S Ocean Dr Ste 230
Hollywood, FL 33019-2930

Mailing address

200 Sunny Isles Blvd Unit 305
Sunny Isles Beach, FL 33160-4399
Phone (732) 266-1399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200226001124 SC Practitioner - Internal Medicine 1456668839 Reassigns benefits to 1 organization
I20200603001400 FL Practitioner - Internal MedicinePractitioner - Hospitalist 1456668839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3800 S Ocean Dr
Suite 230
Hollywood, FL 33019-2930
Phone (773) 512-1161

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
24 On Physicians of SC, LLC CurrentSince Jan 1, 2020 Accepting new patients
Ave X Medical Testing Corp PastSince Dec 7, 2025 Accepting new patients
Spectrum Healthcare Partners, PA Past Accepting new patients

Locations

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

Interoperability endpoints

  • Direct secure messaging: dimitri.gitelmaker.1@30586.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1609020098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SUNNY ISLES BLVD UNIT 305",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604399",
            "telephone_number": "732-266-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 230",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192930",
            "telephone_number": "732-266-1399",
            "fax_number": "786-677-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITELMAKER",
        "first_name": "DIMITRI",
        "middle_name": "MITCHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-11",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME142875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.