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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DIVINO D'ALESSIO JR. MD
NPI 1417691361
Family Medicine - Sports Medicine in Boca Raton, FL

Active since April 26, 2022PECOS Enrolled
1801 S FEDERAL HWY, BOCA RATON, FL 33432(561) 933-3333 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 11, 2026, Apr 26, 2022 (2 updates tracked since 2022).

About Dr. Divino D'alessio Jr. Md NPPES

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

DR. DIVINO D'ALESSIO JR. MD (NPI 1417691361) is an individual sports medicine provider in Boca Raton, Florida, licensed in Florida (ME181970) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1417691361
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. DIVINO D'ALESSIO JR.Credential: MD
Location Address1801 S FEDERAL HWYBoca Raton, FL 33432-7413
Mailing Address300 Singleton Ridge RdConway, SC 29526-9142 · (843) 347-8134
Phone(561) 933-3333
Sole ProprietorYes
Enumeration DateApril 26, 2022
Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1417691361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in FL · ME181970
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
1801 S FEDERAL HWY, Boca Raton, FL 33432
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Secondary Practice Location 1

Location 12330 W Horatio StTampa, FL 33609-3590 · Phone (813) 333-8888

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Divino D'alessio Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33432 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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 Divino D'alessio's NPI number?

The NPI number for Divino D'alessio is 1417691361. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Divino D'alessio located?

Divino D'alessio practices at 1801 S Federal Hwy, Boca Raton, FL 33432. The listed phone number is (561) 933-3333.

What is Divino D'alessio's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Divino D'alessio enrolled in Medicare?

Yes. Divino D'alessio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Divino D'alessio was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.