DR. DIMITRI NOVITZKY MD
NPI 1215972526
Family Medicine - Adult Medicine in Tampa, FL

Active since June 19, 2006
1001 N MACDILL AVE STE B, TAMPA, FL 33607(813) 675-4849 Get Directions Write a Review

NPPES record last updated: May 27, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 27, 2019, Feb 27, 2019, Mar 17, 2018 (3 updates tracked since 2018).

About Dr. Dimitri Novitzky Md NPPES

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

DR. DIMITRI NOVITZKY MD (NPI 1215972526) is an individual adult medicine provider in Tampa, Florida, licensed in Florida (ME61367) and active in the NPI registry since June 2006. He maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1215972526
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. DIMITRI NOVITZKYCredential: MD
Location Address1001 N MACDILL AVE STE BTampa, FL 33607
Mailing Address4407 Vieux Carre CirTampa, FL 33613-3052 · (813) 390-5344 · Fax (386) 774-1264
Sole ProprietorNo
Enumeration DateJune 19, 2006
Last NPPES UpdateMay 27, 20193 updates tracked since enumeration
✔ NPI 1215972526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in FL · ME61367
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1001 N MACDILL AVE STE B, Tampa, FL 33607

Secondary Practice Location 1

Location 11001 N Macdill Ave Ste BTampa, FL 33607 · Phone (813) 675-4849

Other Identifiers 3

Medicaid064781100FL
Other1215972526Medicare Npi
Other11642FL · Blue Cross Blue Shield

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 Dimitri Novitzky's NPI number?

The NPI number for Dimitri Novitzky is 1215972526. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Dimitri Novitzky located?

Dimitri Novitzky practices at 1001 N Macdill Ave Ste B, Tampa, FL 33607. The listed phone number is (813) 675-4849.

What is Dimitri Novitzky's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Dimitri Novitzky was last updated on May 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.