NPIMap

Individual provider Active NPI

Michael Joseph Dattoli, M.D.

  • Specialist
  • Sarasota, FL
National Provider Identifier
1235240664
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME58562 Issued in FL
Practice address
2803 Fruitville Rd
Suite 1
Sarasota, FL 34237-5344
Phone
(941) 957-4926
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME58562 FL Primary

Addresses

Primary practice location

2803 Fruitville Rd
Suite 1
Sarasota, FL 34237-5344

Mailing address

2803 Fruitville Rd
Suite 1
Sarasota, FL 34237-5344
Phone (941) 957-4926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090429000680 FL Practitioner - Radiation OncologyPractitioner - Medical Oncology 3779631817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation OncologyAlso: Medical Oncology
Education
Icahn School of Medicine at Mount Sinai, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Dattoli PLCGroup PAC ID 6406904549, 2 clinicians

Practice addresses (Care Compare)

2803 Fruitville Rd
Sarasota, FL 34237-5344
Phone (941) 957-1221

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Margaret Mary Community Hospital Inc Hospital, Batesville, IN, CCN 151329
  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Dattoli PLC Specialist CurrentSince Apr 1, 2009 Accepting new patients
Team Radiology Physicians, PA Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Sarasota Health Group LLC Specialist Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

2803 Fruitville Rd
Sarasota, FL 34237
Phone (941) 545-6013

2803 Fruitville Rd
Ste 1
Sarasota, FL 34237
Phone (941) 957-4926

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 8

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235240664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 FRUITVILLE RD",
            "address_2": "SUITE 1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375344",
            "telephone_number": "941-957-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 FRUITVILLE RD",
            "address_2": "SUITE 1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375344",
            "telephone_number": "941-957-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTOLI",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME58562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.