Active NPI
Dimitri Mitchel Gitelmaker, M.D.
- Internal Medicine Physician
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME142875
- 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
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 |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 24 On Physicians of SC, LLC | Current | Accepting new patients | |
| Ave X Medical Testing Corp | Past | Accepting new patients | |
| Spectrum Healthcare Partners, PA | Past | Accepting new patients |
Locations
316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000
Interoperability endpoints
- 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.
-
- Hospitalist Physician
- Charleston, SC
- NPI 1144877655
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1679677280
-
dba Spectrum Radiology North
- Diagnostic Radiology Physician
- Bangor, ME
- NPI 1710993159
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miami Beach, FL
- NPI 1912964768
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.