Roy Divittorio, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD14045R Issued in LA

Practice address

15837 Paul Vega MD Dr
Suite 200
Hammond, LA 70403-1462

Phone

(985) 542-8190

Fax

(985) 543-0031

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA, MS2 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

Specialty

Diagnostic Radiology

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Medical Foundation IncGroup PAC ID 9234043712, 211 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Rush Hospital Hospital, Meridian, MS, CCN 250069
• Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
• Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040
• Ochsner Laird Hospital Hospital, Union, MS, CCN 251322
• Ochsner Medical Center-Kenner Hospital, Kenner, LA, CCN 190274

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rdivittorio564088@direct.ochsner.org

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.

• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428

  LA

  Medicare reassignment Care Compare group NPD
• Medical Foundation, Inc.

  • Family Medicine Physician
  • Meridian, MS
  • NPI 1609820539

  Diagnostic Radiology, MS

  Medicare reassignment Care Compare group NPD
• Lallie Kemp Medical Ctr

  • Critical Access Hospital
  • Independence, LA
  • NPI 1558303420

  LA

  Medicare reassignment NPD
• North Oaks Medical Center, LLC

  • Diagnostic Radiology Physician
  • Hammond, LA
  • NPI 1164785648

  Diagnostic Radiology, LA

  Medicare reassignment NPD
• Northlake Gastroenterology

  • Specialist
  • Hammond, LA
  • NPI 1861484842

  LA

  Medicare reassignment NPD
• Radiology Associates of Southwest Louisiana

  • Diagnostic Radiology Physician
  • Alexandria, LA
  • NPI 1033215710

  Diagnostic Radiology, LA

  Medicare reassignment NPD
• Second Avenue MRI LLC

  • Diagnostic Radiology Physician
  • Lake Charles, LA
  • NPI 1629174339

  Diagnostic Radiology, LA

  Medicare reassignment NPD
• Lallie Kemp Medical Ctr

  • Critical Access Hospital
  • Independence, LA
  • NPI 1972545846
  NPD
• North Oaks Medical Center, LLC

  • General Acute Care Hospital
  • Hammond, LA
  • NPI 1972630705
  NPD
• Ochsner Clinic LLC

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • Metairie, LA
  • NPI 1710340468
  NPD
• Medical Foundation, Inc.

  • Emergency Medicine Physician
  • Meridian, MS
  • NPI 1700917994
  NPD

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

• Ochsner Clinic Foundation

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1811973100

  Hospital

  Care Compare affiliation
• Ochsner Medical Center - Kenner, L.L.C.

  • General Acute Care Hospital
  • Kenner, LA
  • NPI 1710097936

  Hospital

  Care Compare affiliation
• Slidell Memorial Hospital

  • General Acute Care Hospital
  • Slidell, LA
  • NPI 1578568481

  Hospital

  Care Compare affiliation
• Laird Hospital, Inc.

  • Critical Access Hospital
  • Union, MS
  • NPI 1518924752

  Hospital

  Care Compare affiliation
• Rush Medical Foundation

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1770543399

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1679564264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2277",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704042277",
            "telephone_number": "985-542-8190",
            "fax_number": "985-543-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15837 PAUL VEGA MD DR",
            "address_2": "SUITE 200",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031462",
            "telephone_number": "985-542-8190",
            "fax_number": "985-543-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVITTORIO",
        "first_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD14045R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00938732",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1577103",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nyance Dillon
• Stephanie Noe Dimattia, D.D.S.
• Brooklynn Jean Dine
• Tracy Dinh
• Directcare Support Professional of Tangiphoa
• Cardell Dixon
• Angela Lena Dluca
• David Malcom Doan, MD
• Kevin Bryan Doan, BSN, CRNA
• David O Dobie, CRNA

• All providers in Hammond, LA
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.

Verify at the official NPI Registry.