GABRIEL ANGELO DEVIVO (DO) – Family Medicine Physician, NPI 1457989428

GABRIEL ANGELO DEVIVO (DO) is a healthcare provider. based in Muskegon, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 5151014223 (MI). The NPI Number for GABRIEL ANGELO DEVIVO (DO) is 1457989428

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
GABRIEL ANGELO DEVIVO (DO)
NPI
1457989428
Phone
(231) 737-1335
Address
2700 BAKER ST FL 3
Enumeration Date
27 March 2020
Last Update Date
26 June 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2317371335
Graduation Year
2020 (6 years ago)
PAC ID
4880055599
Group Practice PAC ID
8123015492
Professional Enrollment ID
I20230727002932
Address ID
MI494442157MU2700XSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for GABRIEL ANGELO DEVIVO (DO)

  • 2700 BAKER ST FL 3

    MUSKEGON, MI 494448779

    Phone: (231) 737-1335

    Type: Location

  • 3443 Farr Rd

    Fruitport, MI 494158779

    Phone: (231) 672-2900

    Type: Location

  • 3443 FARR RD

    FRUITPORT, MI 494158779

    Phone: (231) 672-2900

    Type: Location

  • 1675 LEAHY ST STE 315A

    MUSKEGON, MI 494425543

    Phone: (231) 727-5209

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $201.

Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Lundbeck LLC ($52).

Total Amount

$201

General + Research + Ownership

Payments

10

Total payment records

General Amount

$201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2023-07-27

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
I20230727002932IFamily PracticeMITBD

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 49444)

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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: 8123015492View full group profile
NameSpecialtyState
Internal MedicineMI
Family PracticeMI
Family Practice, Addiction MedicineMI
Nurse PractitionerMI
Internal MedicineMI
Nurse PractitionerMI
Physician AssistantMI
-MI
Nurse PractitionerMI
Physician AssistantMI

Reviews

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Frequently asked questions

Does GABRIEL ANGELO DEVIVO (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GABRIEL ANGELO DEVIVO (DO) uses 1457989428.
Is GABRIEL ANGELO DEVIVO (DO) still practicing?
GABRIEL ANGELO DEVIVO (DO) is currently listed as active in the public NPI registry.
What taxonomy line describes GABRIEL ANGELO DEVIVO (DO)?
For research purposes, treat GABRIEL ANGELO DEVIVO (DO) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does GABRIEL ANGELO DEVIVO (DO) serve?
GABRIEL ANGELO DEVIVO (DO)'s listing highlights Muskegon, Michigan; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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