Individual provider Active NPI

Jonathan S Daitch, MD

  • Pain Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1215924154
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
ME60798 Issued in FL
Practice address
8255 College Pkwy
Ste 100
Fort Myers, FL 33919-5119
Phone
(239) 437-8000
Fax
(239) 437-9991
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X ME60798 FL Primary

Addresses

Primary practice location

8255 College Pkwy
Ste 100
Fort Myers, FL 33919-5119

Mailing address

PO Box 07400
Fort Myers, FL 33919-0391
Phone (239) 437-8000

Other identifiers 4

IdentifierTypeStateIssuer
12953OtherFLBCBS
4222838OtherAETNA
056302100MedicaidFL
955549006OtherCIGNA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041204000020 FL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 0143212480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Jefferson Medical College of Thomas Jefferson University, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Advanced Physical Therapy and Rehab of Cape Coral LLCGroup PAC ID 1951439660, 64 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Advanced Pain Management SpecialistsGroup PAC ID 9638161979, 3 clinicians

Practice addresses (Care Compare)

1402 SE 16TH PL
Cape Coral, FL 33990-3819
Phone (239) 772-2363

1940 Tamiami TRL
Suite 104
Port Charlotte, FL 33948-2105
Phone (941) 883-0083

4316 Lee Blvd
Unit 12B
Lehigh Acres, FL 33971-1735
Phone (239) 368-7744

8255 College Pkwy
Suite 200
Fort Myers, FL 33919-5119
Phone (239) 337-6888

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Hendry Regional Medical Center Hospital, Clewiston, FL, CCN 101309
  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220

Merit-based Incentive Payment System (MIPS)

Final score
88.86 of 100Reported as group
Quality
81.56
Improvement activities
40
Cost
78.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion139
Laminectomy or laminotomy (partial removal of spine bones)46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME60798FLMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Center for Procedures LLC Current Accepting new patients
Medical Anesthesia and Pain Management Consultants, P.a. PastSince May 1, 2015 Accepting new patients
Anesthesia Partners of SWFL LLC PastSince May 12, 2014 Accepting new patients

Locations

8255 College Pkwy
Fort Myers, FL 33919
Phone (239) 333-7687

8255 College Pkwy
Ste 200
Fort Myers, FL 33919
Phone (239) 337-6888

8255 College Pkwy
Ste 100
Fort Myers, FL 33919
Phone (239) 267-2900

Interoperability endpoints

  • Direct secure messaging: jonathan.daitch.p2@direct.apms.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jonathan.daitch@direct.apms.nextgenshare.com

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.

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1215924154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 07400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339190391",
            "telephone_number": "239-437-8000",
            "fax_number": "239-437-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8255 COLLEGE PKWY",
            "address_2": "STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195119",
            "telephone_number": "239-437-8000",
            "fax_number": "239-437-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAITCH",
        "first_name": "JONATHAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME60798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12953",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4222838",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056302100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "955549006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.