Individual provider Active NPI

Dmitry Aleks Drapach, DO

  • Family Medicine Physician
  • Ormond Beach, FL
National Provider Identifier
1669487542
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
044942 Issued in CT
Practice address
901 Sterthaus Dr
Ormond Beach, FL 32174-5133
Phone
(904) 442-1414
Fax
(386) 231-5962
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102203390 VA
Family Medicine Physician 207Q00000X OS18875 FL
Adult Medicine Physician 207QA0505X OS18875 FL
Family Medicine Physician 207Q00000X 044942 CT Primary

Addresses

Primary practice location

901 Sterthaus Dr
Ormond Beach, FL 32174-5133

Mailing address

1268 Main St Ste a
Newington, CT 06111-3038
Phone (860) 817-3046

Other practice location 1

1268 Main St
Newington, CT 06111-3038
Phone (860) 666-5119

Other identifiers 1

IdentifierTypeStateIssuer
1669487542MedicaidVA

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
I20220830000398 FL Practitioner - Family Practice 9032205331 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Physicians of Florida IV, LLCGroup PAC ID 6002198082, 47 clinicians
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

1 Adventhealth Way
Palm Coast, FL 32137-4702
Phone (386) 302-1800

1 Memorial Medical Pkwy
Palm Coast, FL 32164-5979

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Jacksonville, FL, CCN 107689
  • Adventhealth Home Health Home health agency, Ormond Beach, FL, CCN 107408
  • Brooks Rehabilitation Home Health Home health agency, Daytona Beach, FL, CCN 107628
  • Centerwell Home Health Home health agency, Daytona Beach, FL, CCN 107338
  • Accentcare Home Health of Daytona Home health agency, Ormond Beach, FL, CCN 108284
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
97.06 of 100Reported as group
Quality
87.5
Promoting interoperability
100
Improvement activities
40
Cost
77.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220115NYMDLicensed Practical Nurse
044942CTMDFamily Medicine Physician
0102203390VAMDFamily Medicine Physician

Practice roles (14 of 16)

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Sound Physicians of Florida IV, LLC Family Medicine CurrentSince Mar 31, 2024 Accepting new patients
Sound Physicians of Florida IV, LLC CurrentSince Mar 31, 2024 Accepting new patients
Adventist Health System Sunbelt, Inc. Family Medicine CurrentSince Jan 25, 2023 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Jul 21, 2007 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Mar 7, 2024 Accepting new patients
First Choice Health Centers, Inc. CurrentSince Sep 1, 2015 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Jul 21, 2007 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family Medicine CurrentSince Jan 25, 2023 Accepting new patients
Midstate Medical Center CurrentSince Jan 3, 2017 Accepting new patients
First Choice Health Centers, Inc. CurrentSince Sep 1, 2015 Accepting new patients
Midstate Medical Center CurrentSince Jan 3, 2017 Accepting new patients
Midstate Medical Group, PC Past Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients

Locations

94 Connecticut Blvd
Hartford, CT 06108
Phone (860) 610-6191

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

780 Litchfield St
Torrington, CT 06790
Phone (860) 350-9000

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

901 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 206-5908

120 Cypress Edge Dr
Ste 210
Palm Coast, FL 32164
Phone (386) 445-4750

61 Memorial Medical Pkwy
Ste 3804
Palm Coast, FL 32164
Phone (386) 206-9375

120 Cypress Edge Dr
Ste 102
Palm Coast, FL 32164
Phone (386) 586-4280

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ddrapach662037@adventhealth.direct-ci.com
  • Direct secure messaging: ddrapach139610@xdr.hhchealthdirect.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1669487542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 MAIN ST STE A",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113038",
            "telephone_number": "860-817-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 STERTHAUS DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745133",
            "telephone_number": "904-442-1414",
            "fax_number": "386-231-5962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1268 Main St",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "CT",
            "postal_code": "061113038",
            "country_code": "US",
            "telephone_number": "860-666-5119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAPACH",
        "first_name": "DMITRY",
        "middle_name": "ALEKS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102203390",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS18875",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS18875",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "044942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669487542",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.