Individual provider Active NPI

Joshua A Multack, D.O.

  • Hospitalist Physician
  • Port Charlotte, FL
National Provider Identifier
1164693891
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
OS12381 Issued in FL
Practice address
2343 Aaron St
Port Charlotte, FL 33952-5305
Phone
(877) 856-3774
NPI assigned
Mar 20, 2008
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X OS12381 FL
Hospitalist Physician 208M00000X OS12381 FL Primary

Addresses

Primary practice location

2343 Aaron St
Port Charlotte, FL 33952-5305

Mailing address

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

Other practice location 1

616 Clearwater Park Rd Apt 1401
West Palm Beach, FL 33401-6250
Phone (305) 772-0134

Other practice location 2

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-4225

Other identifiers 2

IdentifierTypeStateIssuer
SE729OtherFLMEDICARE HF
105027100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL, NE3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20131118000295 FL Practitioner - Critical Care (Intensivists)Practitioner - AnesthesiologyPractitioner - Internal Medicine 8820176423 Reassigns benefits to 10 organizations
I20200929002856 AL Practitioner - Critical Care (Intensivists) 8820176423 Reassigns benefits to 1 organization
I20210318000708 NE Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 8820176423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Specialists GroupGroup PAC ID 0345584835, 66 clinicians
Premier Inpatient Partners LLCGroup PAC ID 3476832528, 40 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

203 N Marion St
FL 2
Tampa, FL 33602-4914
Phone (813) 428-6904

6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 348-4000

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-2606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2924TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists Group Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Nov 20, 2024 Accepting new patients
West Palm Beach Physician Group Inc Hospitalist CurrentSince Aug 1, 2022 Accepting new patients
CHI Health Clinic Specialty, LLC Family Medicine CurrentSince Mar 23, 2021 Accepting new patients
Cape Coral Hospitalists Inc Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine Current Accepting new patients
Appleton Intensivist Group, LLC Critical Care Medicine CurrentSince Jul 21, 2020 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Nov 1, 2014 Accepting new patients
Wiregrass Clinic LLC Family Medicine CurrentSince Jan 2, 2021 Accepting new patients
Hospital Physician Services of Florida PA Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Premier Inpatient Partners LLC Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Nov 1, 2018 Accepting new patients
Sheridan Healthcorp Inc Current Accepting new patients
Lee Health System Inc CurrentSince Dec 2, 2024 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Nov 20, 2024 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Nov 1, 2014 Accepting new patients
Lee Health System Inc Family Medicine CurrentSince Dec 2, 2024 Accepting new patients
Inpatient Specialists Group Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Sheridan Healthcorp, Inc CurrentSince Nov 1, 2018 Accepting new patients

Locations (25 of 37)

4300 W Main St
Ste 21
Dothan, AL 36305
Phone (334) 699-7900

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

12961 Palms West Dr
Loxahatchee, FL 33470
Phone (561) 793-0437

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

8300 Collier Blvd
Naples, FL 34114
Phone (239) 348-4000

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1164693891",
    "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": "2343 AARON ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525305",
            "telephone_number": "877-856-3774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 Clearwater Park Rd Apt 1401",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334016250",
            "country_code": "US",
            "telephone_number": "305-772-0134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-4225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULTACK",
        "first_name": "JOSHUA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-20",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "OS12381",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS12381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "SE729",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105027100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.