MICHAEL ANTHONY DITORE PMH-NP
NPI 1104535749
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Q: What is Michael Ditore's NPI number?

The NPI number for Michael Ditore is 1104535749. It was assigned to this individual provider in the NPPES registry on November 22, 2022.

Q: What is Michael Ditore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Michael Ditore was last updated on February 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 22, 2022PECOS EnrolledAccepts Medicare Assignment

537 E ALLEGHENY AVE, PHILADELPHIA, PA 19134(215) 921-9500(215) 291-1881 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 11, 2024, Nov 22, 2022 (2 updates tracked since 2022).

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About Michael Anthony Ditore Pmh-np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL ANTHONY DITORE PMH-NP (NPI 1104535749) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP030531) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104535749

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMICHAEL ANTHONY DITORECredential: PMH-NP

Location Address537 E ALLEGHENY AVEPhiladelphia, PA 19134-2328

Mailing Address160 Turners Pond DrLincoln University, PA 19352-1757 · (302) 668-9584

Phone(215) 921-9500

Fax(215) 291-1881

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 22, 2022

Last NPPES UpdateFebruary 24, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2026

✔ NPI 1104535749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in PA · SP030531✔ Licensed in DE · L8-0010367

537 E ALLEGHENY AVE, Philadelphia, PA 19134

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Anthony Ditore Pmh-np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698133940

PECOS Enrollment IDI20241025001189

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

79 services30 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

31 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAXIMILIEN RODOLFO ESPINAL MD

Counselor (Mental Health)

537 E ALLEGHENY AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 291-9500

DR. ISMAEL RAFAEL NAVARRO M.D

Counselor (Mental Health)

537 E ALLEGHENY AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 291-9500

FRANCISCO LIRIANO MD

Counselor (Mental Health)

537 E ALLEGHENY AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 291-9500

JOB R URENA MD

Counselor (Mental Health)

537 E ALLEGHENY AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 291-9500

MR. CARLOS RODRIGUEZ MA

Counselor (Mental Health)

537 E ALLEGHENY AVE, APT/SUITE
PHILADELPHIA, PA 19134

Philadelphia County (215) 291-9500

DR. RADAMES LOPEZ MD

Counselor (Mental Health)

537 E ALLEGHENY AVE, APT/SUITE
PHILADELPHIA, PA 19134

Philadelphia County (215) 291-9500

MR. GLENVILLE ALEXANDER BOWEN MA

Counselor (Mental Health)

537 E ALLEGHENY AVE, APT/SUITE
PHILADELPHIA, PA 19134

Philadelphia County (215) 291-9500

DR. LUIS ALBERTO GONGORA

Counselor (Mental Health)

537 E ALLEGHENY AVE, APT/SUITE
PHILADELPHIA, PA 19134

Philadelphia County (215) 291-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Ditore's NPI number?

The NPI number for Michael Ditore is 1104535749. It was assigned to this individual provider in the NPPES registry on November 22, 2022.

Where is Michael Ditore located?

Michael Ditore practices at 537 E Allegheny Ave, Philadelphia, PA 19134. The listed phone number is (215) 921-9500.

What is Michael Ditore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michael Ditore enrolled in Medicare?

Yes. Michael Ditore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Ditore accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Michael Ditore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Ditore was last updated on February 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.