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PETER M DEVITO MD INC
NPI 1215356050
Surgery in Youngstown, OH

Active since April 09, 2014CLIA 36D0953771 · Waiver
7600 SOUTHERN BLVD, SUITE #2, YOUNGSTOWN, OH 44512(330) 758-3985 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peter M Devito Md Inc NPPES

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

PETER M DEVITO MD INC (NPI 1215356050) is a healthcare organization registered as a surgery in Youngstown, Ohio and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through November 9, 2026 and lists Peter M De Vito, Physician, as its authorized official.

NPPES Registry Identity

NPI1215356050
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePETER M DEVITO MD INC
Location Address7600 SOUTHERN BLVD, SUITE #2Youngstown, OH 44512-6085
Mailing Address7600 Southern Blvd, Suite #2Youngstown, OH 44512-6085 · (330) 758-3985
Phone(330) 758-3985
Organization SubpartNo
Authorized OfficialPeter M De VitoPhysician · (330) 758-3985
Enumeration DateApril 9, 2014
✔ NPI 1215356050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35064590
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
7600 SOUTHERN BLVD, Youngstown, OH 44512
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Other Identifiers 3

Medicare UPING27405
Medicare PIN0804001
Medicaid0259376OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter M Devito Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Peter M Devito MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Peter Devito, M.D.
General Surgery
NPI 1679549620
7600 SOUTHERN BLVD SUITE 2
Youngstown, OH 44512
(330) 758-3985
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0953771

Peter M Devito MD Inc · Youngstown, OH
Active · expires Nov 9, 2026
CLIA Number36D0953771
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorPeter M. Devito MD
Laboratory Phone(330) 758-3985
Laboratory LocationPeter M Devito MD Inc7600 Southern Blvd Suite 2, Youngstown, OH 44512
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Peter M Devito MD Inc's NPI number?

The NPI number for Peter M Devito MD Inc is 1215356050. It was assigned to this organization in the NPPES registry on April 9, 2014.

Where is Peter M Devito MD Inc located?

Peter M Devito MD Inc is located at 7600 Southern Blvd Suite #2, Youngstown, OH 44512. The listed phone number is (330) 758-3985.

What is Peter M Devito MD Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Peter M Devito MD Inc enrolled in Medicare?

Yes. Peter M Devito MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peter M Devito MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Peter M Devito MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Peter M Devito MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0953771) is associated with this NPI, valid through November 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peter M Devito MD Inc accept?

Health plans from CareSource and Molina Healthcare list Peter M Devito MD Inc 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 Peter M Devito MD Inc was last updated on April 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.