DR. ISSACHAR JUDE DEVINE DO
NPI 1750886503
Neuromusculoskeletal Medicine & OMM in Lake Mary, FL
NPI Status: Active since March 26, 2018
Contact Information
2692 W LAKE MARY BLVD
LAKE MARY, FL
ZIP 32746
Phone: (321) 710-8027
- Individual
- Male
- Years of Experience 5
- Neuromusculoskeletal Medicine & OMM
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ISSACHAR DEVINE
This page provides the complete NPI Profile along with additional information for Issachar Devine, a provider established in Lake Mary, Florida with a medical specialization in Neuromusculoskeletal Medicine & Omm and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1750886503 assigned on March 2018. The practitioner's primary taxonomy code is 204D00000X with license number OS20394 (FL). The provider is registered as an individual and his NPI record was last updated March 2025.
- NPI
- 1750886503
- Provider Name
- DR. ISSACHAR JUDE DEVINE DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2692 W LAKE MARY BLVD LAKE MARY, FL 32746
- Location Phone
- (321) 710-8027
- Mailing Address
- 4960 SW 72ND AVE STE 405 MIAMI, FL 33155
- Medical School Name
- OTHER
- Graduation Year
- 2021
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-26-2018
- Last Update Date
- 03-24-2025
- Code Navigator
Location Map
Secondary Locations
- 2800 N Palm Aire Dr
Pompano Beach, FL 33069
(786) 848-2618 - 1170 S Semoran Blvd
Orlando, FL 32807
(407) 622-7246 - 1693 Lee Rd Ste A
Winter Park, FL 32789
(407) 622-5766
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Neuromusculoskeletal Medicine & OMM
- Taxonomy Code
- 204D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- OS20394
- License State
- FL
- Taxonomy Description
- The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Medicare Participation & PECOS Enrollment Status
Issachar Devine is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Issachar Devine is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 547614430
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230926003407
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 5 | 0 | 8 | 8 | 6 | 5 | 0 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 10 | 0 | 16 | 8 | 12 | 5 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 0 + 0 + 1 + 6 + 8 + 1 + 2 + 5 + 0 + 24 = 57 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 57 = 3 | 3 |
The NPI number 1750886503 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1295950780 | FLORIDA PAIN & REHABILITATION INSTITUTE INC Organization | Pain Medicine (Interventional Pain Medicine) | 2692 W LAKE MARY BLVD LAKE MARY, FL 32746 (407) 936-2070 |
1487751632 | DR. JESS D SALINAS JR. MD Individual | Pain Medicine (Interventional Pain Medicine) | 2692 W LAKE MARY BLVD LAKE MARY, FL 32746 (407) 936-2070 |
1588327704 | DINA ZALLOUM APRN Individual | Nurse Practitioner (Family) | 2692 W LAKE MARY BLVD LAKE MARY, FL 32746 (407) 936-2070 |
1861572653 | DR. EDWIN MANUEL VILLALOBOS M.D. Individual | Physical Medicine & Rehabilitation | 2692 W LAKE MARY BLVD LAKE MARY, FL 32746 (321) 710-8027 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750886503, enumerated in the NPI registry as an "individual" on March 26, 2018
The provider is located at 2692 W Lake Mary Blvd Lake Mary, Fl 32746 and the phone number is (321) 710-8027
The provider's speciality is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X
The provider has more than 5 years of experience.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 26, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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