Provider Type Icon

JASON R. DIVITO D.O. NPI 1558604876


NPI Information

NPI: 1558604876
Provider Name: JASON R. DIVITO, D.O.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
17310 WRIGHT ST STE 103
OMAHA, NE
ZIP 68130
Phone: (833) 228-6889
Get Directions

Jason R. Divito, D.O. is a diagnostic radiology radiology in Omaha, NE with 11 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jason R. Divito, D.O. NPI is 1558604876. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduation Year:2013

The provider's business location address is:

17310 WRIGHT ST STE 103
OMAHA, NE
ZIP 68130-405
Phone: (833) 228-6889
Fax: (877) 853-0376

The NPI 1558604876 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct scan head or brain (HCPCS:70450)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Ct scan of face (HCPCS:70486)
  • X-ray of chest, 1 view (HCPCS:71045)

The enumeration date for this NPI number is 4/4/2013 and was last updated on 12/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology17114NORTH DAKOTANo
22085R0202XRadiologyDiagnostic Radiology2020038652MISSOURINo
32085R0202XRadiologyDiagnostic Radiology007458ARIZONANo
42085R0202XRadiologyDiagnostic Radiology074747GEORGIANo
52085R0202XRadiologyDiagnostic RadiologyOS15181FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.