DR. DAVID P DIVITA (MD) – Family Medicine Physician, NPI 1205821303

DR. DAVID P DIVITA (MD) is a healthcare provider. based in Bradenton, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME86246 (FL). The NPI Number for DR. DAVID P DIVITA (MD) is 1205821303

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID P DIVITA (MD)
NPI
1205821303
Phone
(941) 761-1998
Address
315 75TH ST W
Enumeration Date
14 September 2005
Last Update Date
6 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
9418477903
Graduation Year
1999 (27 years ago)
PAC ID
5597654996
Group Practice PAC ID
3072403476
Professional Enrollment ID
I20040313000002
Address ID
FL342214134PA1120XEXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. DAVID P DIVITA (MD)

  • 315, 75th Street West, Bradenton, Manatee County, Florida, 34209, United States

    BRADENTON, FL 342093201

    Phone: (941) 761-1998

    Fax: (941) 752-3921

    Type: Mailing

  • 6033, 26th Street West, Bayshore Gardens, Bradenton, Manatee County, Florida, 34207, United States

    BRADENTON, FL 342074402

    Phone: (941) 752-2025

    Fax: (941) 752-3921

    Type: Location

  • 5130 SUNFOREST DR STE 300

    TAMPA, FL 336346327

    Phone: (727) 824-0780

    Type: Mailing

  • 1120 10TH ST E

    PALMETTO, FL 342214134

    Phone: (941) 847-7903

    Fax: (941) 847-7919

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Masimo Corporation ($125).

Total Amount

$151

General + Research + Ownership

Payments

2

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040313000002IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample9555$0
99214Established patient office or other outpatient visit, 30-39 minutes6137$0
G0444Annual depression screening, 5 to 15 minutes2121$0
81003Automated urinalysis test1916$0
View full utilization report →

Insurance plans in this area (ZIP 34209)

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Provider's Procedures

DR. DAVID P DIVITA (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL85610Blood test, clotting time13721

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072403476View full group profile

Reviews

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Frequently asked questions

Can I cross-check DR. DAVID P DIVITA (MD) using NPI 1205821303?
NPI 1205821303 belongs to DR. DAVID P DIVITA (MD); compare other details if you need extra assurance.
Is DR. DAVID P DIVITA (MD) shown as active in public data?
Registry records indicate DR. DAVID P DIVITA (MD) maintains an active NPI.
What area of care is associated with DR. DAVID P DIVITA (MD)?
DR. DAVID P DIVITA (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DAVID P DIVITA (MD)?
Directory geography for DR. DAVID P DIVITA (MD) centers on Bradenton, Florida.
When was this NPI issued?
Enumeration for DR. DAVID P DIVITA (MD) is noted as September 14, 2005 where the registry provides it.

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