Active NPI
Daniel Fortich, DNP, CRNA, APRN
- Certified Registered Nurse Anesthetist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11011099
- Practice address
- 11750 SW 40TH St
Miami, FL 33175-3530 - Phone
- (305) 223-3000
- NPI assigned
- Nov 5, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 11011099 | FL | Primary |
Addresses
Primary practice location
11750 SW 40TH St
Miami, FL 33175-3530
Mailing address
10315 SW 130TH CT
Miami, FL 33186-2361
Phone (786) 395-3231
Other practice location 1
10315 SW 130th Ct
Miami, FL 33186-2361
Phone (786) 395-3231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 844-4396
11750 SW 40 St
Miami, FL 33175-3530
Phone (954) 939-5000
Hospital & facility affiliations
- Tampa General Hospital
- HCA Florida Kendall Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11011099 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Anesthesia Physician Solutions of South Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Anesthesia Physician Solutions of South Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Miami, FL
- NPI 1104248699
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1437823507
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- Pain Medicine (Anesthesiology) Physician
- Tampa, FL
- NPI 1326375585
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
-
- General Acute Care Hospital
- Miami, FL
- NPI 1710931522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1033710082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10315 SW 130TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331862361",
"telephone_number": "786-395-3231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11750 SW 40TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753530",
"telephone_number": "305-223-3000"
}
],
"practiceLocations": [
{
"address_1": "10315 SW 130th Ct",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331862361",
"country_code": "US",
"telephone_number": "786-395-3231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORTICH",
"first_name": "DANIEL",
"credential": "DNP, CRNA, APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-05",
"last_updated": "2021-01-19",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11011099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.