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

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  • 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
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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

Reviews for DR. ISSACHAR JUDE DEVINE DO

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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.
1750886503
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001681250
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 = 33

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
1295950780FLORIDA PAIN & REHABILITATION INSTITUTE INC
Organization
Pain Medicine (Interventional Pain Medicine)2692 W LAKE MARY BLVD
LAKE MARY, FL 32746
(407) 936-2070
1487751632DR. 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
1861572653DR. EDWIN MANUEL VILLALOBOS M.D.
Individual
Physical Medicine & Rehabilitation2692 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.