Active NPI
Ernest Digiovanni, D.O.
- Gastroenterology Physician
- New Port Richey, FL
National Provider Identifier
1891090528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- OS11506
- Practice address
- 10820 State Road 54 Ste 201
New Port Richey, FL 34655-2291 - Phone
- (727) 846-7031
- Fax
- (727) 846-7132
- NPI assigned
- Jan 11, 2011
- Last updated
- Nov 26, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | O11506 | FL | |
| Gastroenterology Physician | 207RG0100X | OS11506 | FL | Primary |
Addresses
Primary practice location
10820 State Road 54 Ste 201
New Port Richey, FL 34655-2291
Mailing address
10820 State Road 54 Ste 201
New Port Richey, FL 34655-2291
Phone (727) 846-7031
Other practice location 1
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1771
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016286900 | Medicaid | FL | |
| PENDING | Other | FL | MEDICARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151218001977 | FL | Practitioner - Gastroenterology | 7810298742 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O11506 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Central Gastroenterology LLP | Multi-Specialty | Current | Accepting new patients |
Locations
10820 State Road 54
Ste 201
Trinity, FL 34655
Phone (727) 846-7031
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Clearwater, FL
- NPI 1144454703
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1891090528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10820 STATE ROAD 54 STE 201",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346552291",
"telephone_number": "727-846-7031",
"fax_number": "727-846-7132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10820 STATE ROAD 54 STE 201",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346552291",
"telephone_number": "727-846-7031",
"fax_number": "727-846-7132"
}
],
"practiceLocations": [
{
"address_1": "1350 Hickory St",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-434-1771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIGIOVANNI",
"first_name": "ERNEST",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-11",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "FL",
"license": "O11506",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "OS11506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016286900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "PENDING",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.