ELOISA G. DIMAYUGA, MD PA
NPI 1487832770
Internal Medicine in Daytona Beach, FL

Active since February 08, 2008
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114(386) 451-5940 Get Directions Write a Review

NPPES record last updated: November 28, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eloisa G. Dimayuga, Md Pa NPPES

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

ELOISA G. DIMAYUGA, MD PA (NPI 1487832770) is a healthcare organization registered as an internal medicine in Daytona Beach, Florida and active in the NPI registry since February 2008. The organization lists Eloisa G Dimayuga, President, as its authorized official.

NPPES Registry Identity

NPI1487832770
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameELOISA G. DIMAYUGA, MD PA
Location Address303 N CLYDE MORRIS BLVDDaytona Beach, FL 32114-2709
Mailing Address226 N Nova Rd Ste 320Ormond Beach, FL 32174-5124 · (386) 451-5940
Organization SubpartNo
Authorized OfficialEloisa G DimayugaPresident · (386) 451-5940
Enumeration DateFebruary 8, 2008
Last NPPES UpdateNovember 28, 2017
✔ NPI 1487832770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
303 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114

Other Identifiers 2

Other40553Medicare Group Number
Medicare PIN40553FL

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eloisa G. Dimayuga, Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20051026000162Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eloisa G. Dimayuga, MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Infectious Disease
NPI 1417923889
303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114
(386) 451-5940
✔ 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.

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 Eloisa G. Dimayuga, MD PA's NPI number?

The NPI number for Eloisa G. Dimayuga, MD PA is 1487832770. It was assigned to this organization in the NPPES registry on February 8, 2008.

Where is Eloisa G. Dimayuga, MD PA located?

Eloisa G. Dimayuga, MD PA is located at 303 N Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 451-5940.

What is Eloisa G. Dimayuga, MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Eloisa G. Dimayuga, MD PA enrolled in Medicare?

Yes. Eloisa G. Dimayuga, MD PA is registered in the Medicare PECOS enrollment system.

When is Eloisa G. Dimayuga, MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Eloisa G. Dimayuga, MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to Eloisa G. Dimayuga, MD PA. 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.

When was this NPI record last updated?

The NPPES record for Eloisa G. Dimayuga, MD PA was last updated on November 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.