Daniel Jacob Dolderer, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME140583 Issued in FL

Practice address

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205

Phone

(561) 744-4487

NPI assigned

Mar 27, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

University of Miami, LM Miller School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Treasure Coast Pathology, PAGroup PAC ID 6406030188, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ddolderer19673@jupitermedicalcenter.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Treasure Coast Pathology, PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Stuart, FL
  • NPI 1437454964
  Medicare reassignment Care Compare group NPD
• Insight Medical Partners PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Palm Beach Gardens, FL
  • NPI 1639022544
  Medicare reassignment NPD
• Jupiter Pathology Consultants PL

  • Anatomic Pathology & Clinical Pathology Physician
  • Jupiter, FL
  • NPI 1821392838
  NPD (past)
• Treasure Coast Pathology, PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Jupiter, FL
  • NPI 1639747298
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1053654145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 EXCHANGE CT",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334094019",
            "telephone_number": "561-684-9566",
            "fax_number": "561-687-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S OLD DIXIE HWY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587205",
            "telephone_number": "561-744-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLDERER",
        "first_name": "DANIEL",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME140583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dna Pharmacy Services Inc (Palm Beach Compounding Pharmacy)
• Stephen Dodson, RNFA
• Melissa Doerzbacher, PTA
• Susan Margaret Doherty, P.T.
• Ruthe Dolcine
• Drake Donaldson
• Dove F. Donovan, RDCS
• Michael Robert Donovan
• Kathryn Lorraine Dorendorf, PSY.D.
• Laurie Dorrielan, APRN

• Anatomic Pathology & Clinical Pathology Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.