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MR. JUSTIN DI DONATO M.D.
NPI 1548612815
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI

Active since July 11, 2016PECOS Enrolled
1000 OAKLAND DRIVE, KALAMAZOO, MI 49008(269) 337-4400 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2016, Jul 11, 2016 (2 updates tracked since 2016).

About Mr. Justin Di Donato M.d. NPPES

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

MR. JUSTIN DI DONATO M.D. (NPI 1548612815) is an individual student in an organized health care education/training program in Kalamazoo, Michigan, licensed in Michigan (4301110632) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548612815
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JUSTIN DI DONATOCredential: M.D.
Location Address1000 OAKLAND DRIVEKalamazoo, MI 49008-8024
Mailing Address1000 Oakland DriveKalamazoo, MI 49008-8024 · (269) 337-4400
Phone(269) 337-4400
Sole ProprietorNo
Enumeration DateJuly 11, 2016
Last NPPES UpdateNovember 2, 20162 updates tracked since enumeration
✔ NPI 1548612815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4301110632
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301110632 (MI)
1000 OAKLAND DRIVE, Kalamazoo, MI 49008
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Justin Di Donato M.d. 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.

Other Providers at the Same Location NPPES 13

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

THALES NOGUEIRA GOMES M.D
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DRIVE
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
GLENN V DREGANSKY DO
Family Medicine
1000 OAKLAND DRIVE
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-6500
CHERYL DICKSON MD
Pediatrics
1000 OAKLAND DRIVE
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-6400
DR. SUSAN F. BANNON MD
Internal Medicine
1000 OAKLAND DRIVE
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-6300
DR. MAAZ ISMAIL AHMED MBBS
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DRIVE
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4600
MANPREET SINGH NARWAL M.D.
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DRIVE
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-6500
NARINDER NINA CLAIR M.D.
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DRIVE
KALAMAZOO, MI 49008
Kalamazoo County (269) 337-4400
DR. VARINDER SINGH SIDHU MD
Student in an Organized Health Care Education/Training Program
1000 OAKLAND DRIVE, WESTERN MICHIGAN UNIVERSITY SCHOOL OF MEDICINE
KALAMAZOO, MI 49008
Kalamazoo County (296) 337-4601

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 Justin Di Donato's NPI number?

The NPI number for Justin Di Donato is 1548612815. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Justin Di Donato located?

Justin Di Donato practices at 1000 Oakland Drive, Kalamazoo, MI 49008. The listed phone number is (269) 337-4400.

What is Justin Di Donato's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Justin Di Donato enrolled in Medicare?

Yes. Justin Di Donato is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Di Donato was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.