Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason R. Divito, DO

Individual provider Diagnostic Radiology Physician · NPI 1558604876

Jason R. Divito, DO is a Diagnostic Radiology in Miami, Florida. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2013, 13 years ago. Practices with Lincoln Radiology Group P C, a 46-clinician group and works from 7 locations. Licensed in Arizona, Florida, Georgia and Missouri and 1 more.

Years since qualifying
13
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
AZ, FL, GA, MO, ND
In the registry since
2013
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

495 Brickell Ave
Miami, FL 33131-2769
Phone: (833) 228-6889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 500 E Market St, Iowa City, IA 52245-2633 — (319) 339-3551
  • 701 W Forevergreen Rd, North Liberty, IA 52317-9848 — (319) 356-3375
  • 6000 Hospital Dr, Hannibal, MO 63401-6887 — (573) 248-5301
  • 2305 37th Ave Sw, Minot, ND 58701-7669 — (701) 857-5000
  • 1 Burdick Expy W, Minot, ND 58701-4406 — (701) 857-5000
  • 1010 N 102nd St Ste 201, Omaha, NE 68114-2122 — (833) 228-6889

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence OS15181 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 17114 (ND)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2020038652 (MO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 074747 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 007458 (AZ)

Record details

NPI number1558604876
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 4, 2013
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2013 (13 years in practice)
Group practice Lincoln Radiology Group P C — 46 clinicians
Accepts Medicare assignment Not indicated
Practice locations29 on file with Medicare

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