Individual provider Active NPI

Peter Michael Devito, M.D.

  • Surgery Physician
  • Youngstown, OH
National Provider Identifier
1679549620
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35-64590 Issued in OH
Practice address
7600 Southern Blvd
Suite 2
Youngstown, OH 44512-6085
Phone
(330) 758-3985
Fax
(330) 758-4264
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35-64590 OH Primary

Addresses

Primary practice location

7600 Southern Blvd
Suite 2
Youngstown, OH 44512-6085

Mailing address

7600 Southern Blvd
Suite 2
Youngstown, OH 44512-6085
Phone (330) 758-3985

Other identifiers 1

IdentifierTypeStateIssuer
0259376MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20041215000483 OH Practitioner - General Surgery 7416914098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northeastern Ohio University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7600 Southern Blvd
Suite 2
Youngstown, OH 44512-6085
Phone (330) 758-3985

Hospital & facility affiliations

  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy62
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux51
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-64590OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter M Devito MD Inc Surgery CurrentSince Jun 21, 1996 Accepting new patients

Locations

7600 Southern Blvd
Ste 2
Youngstown, OH 44512
Phone (330) 758-3985

Interoperability endpoints

  • Direct secure messaging: pdevito35042@direct.bsmhealth.org

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.

Hospital & facility affiliations 4

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1679549620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 SOUTHERN BLVD",
            "address_2": "SUITE 2",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126085",
            "telephone_number": "330-758-3985",
            "fax_number": "330-758-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 SOUTHERN BLVD",
            "address_2": "SUITE 2",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126085",
            "telephone_number": "330-758-3985",
            "fax_number": "330-758-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVITO",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-64590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0259376",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.