Kenneth C. Fortgang, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME43615 Issued in FL

Practice address

1125 Bel Air Dr
Highland Beach, FL 33487-4207

Phone

(561) 756-4610

Fax

(561) 274-6770

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL, NY2 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 2

Specialty

Diagnostic Radiology

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diagnostic Centers of America, LLP 108 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (20 of 21)

Locations (25 of 33)

Networks

• Freedom Health HMO Network

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.

• Diagnostic Centers of America LLP

  • Diagnostic Radiology Physician
  • Delray Beach, FL
  • NPI 1730125261

  Diagnostic Radiology, FL

  Medicare reassignment Care Compare group NPD
• Elite Imaging LLC

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1376819888

  Diagnostic Radiology, FL

  Medicare reassignment NPD
• Partners in Imaging Inc

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1356441448

  Diagnostic Radiology, FL

  Medicare reassignment NPD
• QMG, LLC

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1790079309

  Diagnostic Radiology, FL

  Medicare reassignment NPD
• Zwanger & Pesiri Radiology Group, LLP

  • Diagnostic Radiology Physician
  • Lindenhurst, NY
  • NPI 1477523413

  Diagnostic Radiology, FL, NY

  Medicare reassignment NPD
• Diagnostic Centers of America LLP

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1083491237

  Diagnostic Radiology

  NPD
• Elite Imaging LLC

  • Diagnostic Radiology Physician
  • Orange Park, FL
  • NPI 1346516853

  Diagnostic Radiology

  NPD
• Arizona Advanced Imaging Center LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Mesa, AZ
  • NPI 1124078431
  NPD
• Flex Radiology PC

  • Diagnostic Radiology Physician
  • Woodbury, NY
  • NPI 1386000305

  Diagnostic Radiology

  NPD
• Mobile Images Acquisition, LLC

  • Sonography Radiologic Technologist
  • Chattanooga, TN
  • NPI 1245471614
  NPD
• Mobile Visions Inc

  • Physiological Laboratory
  • Winston Salem, NC
  • NPI 1326009457
  NPD
• Quality Medical Imaging of Arizona, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Phoenix, AZ
  • NPI 1417124637
  NPD

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1366426066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 BEL AIR DRIVE",
            "city": "HIGHLAND BEACH",
            "state": "FL",
            "postal_code": "33487",
            "telephone_number": "561-756-4610",
            "fax_number": "561-274-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 BEL AIR DR",
            "city": "HIGHLAND BEACH",
            "state": "FL",
            "postal_code": "334874207",
            "telephone_number": "561-756-4610",
            "fax_number": "561-274-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTGANG",
        "first_name": "KENNETH",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME43615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300033744",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068688300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 24-7 Elder Care Inc.
• David Zuckerman Axelrod, MD
• Body Talk and General Wellness Corp
• Jack Sol Faintuch, MD
• Richard N Foltz, M.D.
• Josh Ginsburg, MSW
• Jeffrey Paul Gordon
• Cintia Amstalden Guardia, NMT, LMT
• Jayne Co.
• Richard Krieger, MD

• All providers in Highland Beach, FL
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.

Verify at the official NPI Registry.