JASON R. DIVITO (D.O.) – Diagnostic Radiology Physician, NPI 1558604876
Diagnostic Radiology Physician
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NPPES metrics only — not quality of care.
434 DIAGNOSTIC RADIOLOGY in IA
Provider Addresses for JASON R. DIVITO (D.O.)
701 W Forevergreen Rd
North Liberty, IA 523179848
Phone: (319) 356-3375
Fax: (319) 356-3949
Type: Location
2305 37th Ave SW
Minot, ND 587017669
Phone: (701) 857-5000
Type: Location
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 553445349
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
6000 Hospital Dr
Hannibal, MO 634016887
Phone: (573) 248-5301
Fax: (573) 248-5302
Type: Location
1010 N 102nd St Ste 201
Omaha, NE 681142122
Phone: (833) 228-6889
Fax: (877) 853-0376
Type: Location
1 Burdick Expy W
Minot, ND 587014406
Phone: (701) 857-5000
Type: Location
500 E Market St
Iowa City, IA 522452633
Phone: (319) 339-3551
Fax: (319) 248-7945
Type: Location
1010 N 102ND ST STE 201
OMAHA, NE 681142122
Phone: (833) 228-6889
Fax: (877) 853-0376
Type: Mailing
495 BRICKELL AVE
MIAMI, FL 331312769
Phone: (833) 228-6889
Type: Location
17310 WRIGHT ST STE 103
OMAHA, NE 681302405
Phone: (833) 228-6889
Fax: (877) 853-0376
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-11-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 13 Medicare enrollment records; no due dates published yet.
Enrollment records
13
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171202000362 | I | Psychiatry | GA | TBD |
| I20190711001656 | I | Diagnostic Radiology | FL | TBD |
| I20210125002430 | I | Diagnostic Radiology | TX | TBD |
| I20211108001125 | I | Diagnostic Radiology | MA | TBD |
| I20211216002823 | I | Diagnostic Radiology | TN | TBD |
| I20220209001236 | I | Diagnostic Radiology | ND | TBD |
| I20230208002416 | I | Diagnostic Radiology | AR | TBD |
| I20230217001411 | I | Diagnostic Radiology | MO | TBD |
| I20240827000091 | I | Diagnostic Radiology | CT | TBD |
| I20240913000225 | I | Diagnostic Radiology | IA | TBD |
| I20241008003643 | I | Diagnostic Radiology | WA | TBD |
| I20241016003529 | I | Diagnostic Radiology | SD | TBD |
| I20251125001571 | I | Diagnostic Radiology | NE | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 470 | 423 | $0 |
| 70450 | Ct scan head or brain without contrast | 279 | 275 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 117 | 117 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 84 | 83 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 76 | 76 | $0 |
Insurance plans in this area (ZIP 52317)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | IA | |
| P S Y C H I A T R Y | IA | |
| Internal Medicine, Hospitalist, Internal Medicine | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Nurse Practitioner | IA | |
| Family Practice | IA | |
| Internal Medicine, Hospitalist, Internal Medicine | TN | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Rheumatology, Internal Medicine | OH |
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