DR. AVI ELIZABETH DOMNITZ-GEBET (DO) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1619125622

DR. AVI ELIZABETH DOMNITZ-GEBET (DO) is a healthcare provider. based in Lakeland, Florida. specializing in NEUROLOGY, PEDIATRIC MEDICINE. They hold the professional credentials DO. They hold a License No. OS15654 (FL). The NPI Number for DR. AVI ELIZABETH DOMNITZ-GEBET (DO) is 1619125622

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. AVI ELIZABETH DOMNITZ-GEBET (DO)
NPI
1619125622
Phone
(863) 232-4323
Address
5129 S LAKELAND DR STE 2
Enumeration Date
3 September 2008
Last Update Date
25 July 2022

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF OSTEOPATHY
Secondary Phone
4144537780
Graduation Year
2006 (20 years ago)
PAC ID
0547416398
Group Practice PAC ID
1456368778
Professional Enrollment ID
I20241111002510
Address ID
WI532261308WA2600XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,847 NEUROLOGY in FL

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Provider Addresses for DR. AVI ELIZABETH DOMNITZ-GEBET (DO)

  • South Lakeland Drive, Lakeland, Norfolk, Virginia, 23518-5807, United States

    LAKELAND, FL 338132599

    Phone: (863) 232-4323

    Fax: (633) 375-7288

    Type: Mailing

  • 4107 NEPTUNE RD

    SAINT CLOUD, FL 347696741

    Phone: (321) 805-4398

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2023-01-19 • Largest payer in this snapshot: LivaNova USA, Inc. ($102).

Total Amount

$102

General + Research + Ownership

Payments

1

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
LivaNova USA, Inc.$102
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: 2024-11-11

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
I20241111002510INeurologyWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33813)

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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: 1456368778View full group profile
NameSpecialtyState
Nurse PractitionerWI
N E U R O L O G YWI

Reviews

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Frequently asked questions

Where can patients find DR. AVI ELIZABETH DOMNITZ-GEBET (DO)'s NPI?
You can confirm DR. AVI ELIZABETH DOMNITZ-GEBET (DO) with NPI 1619125622; it appears in the national provider directory.
Is DR. AVI ELIZABETH DOMNITZ-GEBET (DO) active in the national directory?
DR. AVI ELIZABETH DOMNITZ-GEBET (DO)'s public NPI profile is in an active state.
Can you summarize DR. AVI ELIZABETH DOMNITZ-GEBET (DO)'s specialty in plain language?
Clinically, the directory lists DR. AVI ELIZABETH DOMNITZ-GEBET (DO) with Neurology with Special Qualifications in Child Neurology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. AVI ELIZABETH DOMNITZ-GEBET (DO)?
We surface Lakeland, Florida for DR. AVI ELIZABETH DOMNITZ-GEBET (DO) based on available NPPES addresses.
What if Lakeland, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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