Active NPI
Daniel Fortes, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 89203
- Practice address
- 61 Whitcher St NE Ste 4120
Marietta, GA 30060-1179 - Phone
- (770) 424-9732
- Fax
- (770) 421-0228
- NPI assigned
- Aug 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | P7911 | TX | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 89203 | GA | Primary |
Addresses
Primary practice location
61 Whitcher St NE Ste 4120
Marietta, GA 30060-1179
Mailing address
61 Whitcher St NE Ste 4120
Marietta, GA 30060-1179
Phone (770) 424-9732
Other practice location 1
1010 W 40th St
Austin, TX 78756-4010
Phone (512) 459-8753 ext. 102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 329610501 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dfortes420878@directwellstar.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140117001146 | TX | Practitioner - Thoracic Surgery | 4284638271 | Reassigns benefits to 1 organization |
| I20210617000871 | GA | Practitioner - Thoracic Surgery | 4284638271 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (770) 732-4022
3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2912
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4022
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
61 Whitcher N E St
Suite 4120
Marietta, GA 30060-1179
Phone (770) 424-9732
61 Whitcher St NE
Suite 2100
Marietta, GA 30060-1179
Phone (770) 423-0595
625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004
677 Church Nest
Marietta, GA 30060-1101
677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585
8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (678) 838-2585
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
- Wellstar Paulding Medical Center
- Wellstar Cobb Medical Center
- Wellstar Douglas Medical Center
- Wellstar North Fulton Medical Center
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Texas Ips LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients |
Locations
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
61 Whitcher St NE
Ste 4120
Marietta, GA 30060
4458 Medical Dr
Ste 505
San Antonio, TX 78229
4499 Medical Dr
#150
San Antonio, TX 78229
Phone (210) 614-8181
Organizations & group practices 4
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.
-
- Pulmonary Disease Physician
- San Antonio, TX
- NPI 1629368535
Thoracic Surgery (Cardiothoracic Vascular Surgery), TX
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1124037486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 WHITCHER ST NE STE 4120",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601179",
"telephone_number": "770-424-9732",
"fax_number": "770-421-0228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 WHITCHER ST NE STE 4120",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601179",
"telephone_number": "770-424-9732",
"fax_number": "770-421-0228"
}
],
"practiceLocations": [
{
"address_1": "1010 W 40th St",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787564010",
"country_code": "US",
"telephone_number": "512-459-8753 x102",
"fax_number": "512-483-6807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORTES",
"first_name": "DANIEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "P7911",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "GA",
"license": "89203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "329610501",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dfortes420878@directwellstar.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "61 Whitcher St NE Ste 4120",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300601179",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.