Individual provider Active NPI

David Fleszar, D.O.

  • Diagnostic Radiology Physician
  • Port Charlotte, FL
National Provider Identifier
1083704845
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS6183 Issued in FL
Practice address
19621 Cochran Blvd
Port Charlotte, FL 33948-2070
Phone
(855) 674-4624
Fax
(941) 883-8386
NPI assigned
Oct 13, 2006
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X OS0006183 FL
Diagnostic Radiology Physician 2085R0202X OS6183 FL Primary

Addresses

Primary practice location

19621 Cochran Blvd
Port Charlotte, FL 33948-2070

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other identifiers 1

IdentifierTypeStateIssuer
57451OtherFLFL BC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL, CT, KY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040224000123 MI Practitioner - Diagnostic Radiology 3678466513
I20070207000173 FL Practitioner - Diagnostic Radiology 3678466513 Reassigns benefits to 1 organization
I20260422003242 CT Practitioner - Diagnostic Radiology 3678466513 Reassigns benefits to 1 organization
I20260615002686 KY Practitioner - Diagnostic Radiology 3678466513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

1126 S 14TH St
Fernandina Beach, FL 32034-2920
Phone (904) 432-3061

1128 S 14TH St
Fernandina Beach, FL 32034-2920
Phone (904) 420-6105

1132 S 14TH St
Fernandina Beach, FL 32034-2920
Phone (904) 277-4690

11513 N Main St
Jacksonville, FL 32218-4002
Phone (904) 751-6200

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343

1528 Del Prado Blvd S
Cape Coral, FL 33990-3798
Phone (239) 458-3338

1659 US Hwy 27 N
Suite 102
Avon Park, FL 33825-2103
Phone (863) 657-0710

1735 SW Health Pkwy
Suite 201
Naples, FL 34109-0421
Phone (239) 249-7800

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

19621 Cochran Blvd
Port Charlotte, FL 33948-2070
Phone (855) 674-4624

2227 US Hwy 27 S
Sebring, FL 33870-4936
Phone (863) 202-8100

2237 Lithia Ctr LN
Valrico, FL 33596-5676
Phone (813) 662-0123

2450 Tamiami TRL
Suite a
Port Charlotte, FL 33952-3922
Phone (941) 624-2704

2460 Tamiami TRL
Port Charlotte, FL 33952-3922
Phone (941) 258-3294

2675 Winkler Ave
Fort Myers, FL 33901-9328

2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328

3000 S McCall Rd
Englewood, FL 34224-8616
Phone (941) 406-9029

315 E Olympia Ave
Punta Gorda, FL 33950-3823

316 W Interlake Blvd
Lake Placid, FL 33852-9653
Phone (863) 465-7636

3430 Tamiami TRL
Suite B
Port Charlotte, FL 33952-8148
Phone (941) 883-8383

3434 Hancock Bridge Pkwy
Suite 301
North Fort Myers, FL 33903-7099
Phone (877) 856-3774

400 8TH St N
Naples, FL 34102-5519
Phone (239) 261-5511

60 W Minister St N
Suite C
Lehigh Acres, FL 33936-6518
Phone (806) 553-3637

60 Westminster St N
Suite G
Lehigh Acres, FL 33936-6518
Phone (239) 491-0233

7451 103Rd St
Jacksonville, FL 32210-9300
Phone (904) 683-4968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS0006183FLMDNuclear Radiology Physician
OS6183FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MVP Imaging PLC Diagnostic Radiology PastSince Apr 30, 2003 Accepting new patients
North Port Diagnostic Imaging Center Inc PastSince Jan 1, 2008 Accepting new patients
Lakewood-Manatee Radiology Consultants Past Accepting new patients
Mercy Hospital Grayling Past Accepting new patients
Sharper Imaging Diagnostic Radiology Center Inc Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: david.fleszar.1@4290.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1083704845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19621 COCHRAN BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339482070",
            "telephone_number": "855-674-4624",
            "fax_number": "941-883-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLESZAR",
        "first_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "FL",
            "license": "OS0006183",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS6183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BC",
            "identifier": "57451",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.