DALE R TRAFICANTE MD PA
NPI 1598015398
Urology in Daytona Beach, FL
About Dale R Traficante Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DALE R TRAFICANTE MD PA (NPI 1598015398) is a healthcare organization registered as an urology in Daytona Beach, Florida and active in the NPI registry since September 2012. The organization lists Dale Robert Traficante, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Dale R Traficante Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dale R Traficante MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Dale R Traficante MD PA's NPI number?
The NPI number for Dale R Traficante MD PA is 1598015398. It was assigned to this organization in the NPPES registry on September 19, 2012.
Where is Dale R Traficante MD PA located?
Dale R Traficante MD PA is located at 1890 Lpga Blvd Suite 220, Daytona Beach, FL 32117. The listed phone number is (386) 274-5757.
What is Dale R Traficante MD PA's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Dale R Traficante MD PA enrolled in Medicare?
Yes. Dale R Traficante MD PA is registered in the Medicare PECOS enrollment system.
When is Dale R Traficante 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 March 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 Dale R Traficante MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Dale R Traficante 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 Dale R Traficante MD PA was last updated on July 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dale R Traficante Md Pa · NPI 1598015398
Urology organization in Daytona Beach, Florida. Organization record, active in the CMS NPPES registry since September 19, 2012.
## Identity
- **NPI:** 1598015398 (Entity type: Organization)
- **Enumerated:** September 19, 2012
- **Primary specialty:** Urology · taxonomy 208800000X
- **Organization subpart:** No
- **Authorized official:** Dale Traficante, OWNER
## Practice location
- **Address:** 1890 LPGA BLVD, SUITE 220, Daytona Beach, FL 32117-7138
- **Phone:** (386) 274-5757 · **Fax:** (386) 274-1992
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Urology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2013
- **Other identifiers:** Medicare PIN GN883A (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1598015398) · Data from the CMS NPPES public registry.