DIMITRI NOVITZKY MD – NPI #1215972526
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

DIMITRI NOVITZKY is a physician located in TAMPA, FL. NPPES has assigned the NPI number 1215972526 to DIMITRI NOVITZKY on June 19, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 7 years ago on May 27, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIMITRI NOVITZKY below.

NPI Profile for
DIMITRI NOVITZKY

NPI Number
1215972526
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DIMITRI NOVITZKY
Credentials
MD
Primary location
1001 N MACDILL AVE STE B
TAMPA, FL 33607
Phone: (813) 675-4849 Fax:
1 Other location(s):
1001 N Macdill Ave Ste B
Tampa, FL 33607
Phone: (813) 675-4849
Mailing address
4407 VIEUX CARRE CIR
TAMPA, FL 33613-3052
Phone: (813) 390-5344 Fax: (386) 774-1264
Sole Proprietor
No
Updated
Identifiers

Identifiers for DIMITRI NOVITZKY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDFL11642
OTHERMEDICARE NPI1215972526
MEDICAIDFL064781100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)
FL ME61367

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.