Active NPI
Jonathan S Daitch, MD
- Pain Medicine Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- ME60798
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12953 | Other | FL | BCBS |
| 4222838 | Other | AETNA | |
| 056302100 | Medicaid | FL | |
| 955549006 | Other | CIGNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Jefferson Medical College of Thomas Jefferson University, 1984
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Physiotherapy Associates Inc
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
- Lee Memorial Hospital
- Cape Coral Hospital
- Hendry Regional Medical Center
- Gulf Coast Medical Center Lee Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.86 of 100
- Quality
- 81.56
- Improvement activities
- 40
- Cost
- 78.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 139 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME60798 | FL | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Center for Procedures LLC | Current | Accepting new patients | |
| Medical Anesthesia and Pain Management Consultants, P.a. | Past | Accepting new patients | |
| Anesthesia Partners of SWFL LLC | Past | 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
- jonathan.daitch.p2@direct.apms.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Pain Medicine (Anesthesiology) Physician
- Fort Myers, FL
- NPI 1215982665
-
- Ambulatory Surgical Clinic/Center
- Fort Myers, FL
- NPI 1992970230
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1245651439
-
- Physical Therapy Clinic/Center
- Cape Coral, FL
- NPI 1891990206
-
- Anesthesiology Physician
- Ft Myers, FL
- NPI 1619966694
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fort Myers, FL
- NPI 1376517862
-
- Critical Access Hospital
- Clewiston, FL
- NPI 1215960315
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.