Active NPI
Joseph E Tienstra, MD
- Diagnostic Radiology Physician
- Fort Myers, FL
National Provider Identifier
1366499329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME0045066
- Practice address
- 63 Barkley Cir
Ste. 100 & 101
Fort Myers, FL 33907-4514 - Phone
- (239) 938-3500
- Fax
- (239) 278-0055
- NPI assigned
- May 27, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME0045066 | FL | Primary |
Addresses
Primary practice location
63 Barkley Cir
Ste. 100 & 101
Fort Myers, FL 33907-4514
Mailing address
8791 Conference Dr
Suite 1
Fort Myers, FL 33919-5822
Phone (239) 938-3506
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300064841 | Other | FL | RR MEDICARE |
| 205472 | Other | AMERIGROUP | |
| 0004093006 | Other | AETNA | |
| ME45066 | Other | FL WC CERTIFICATION | |
| O36234400 | Medicaid | FL | |
| 36420 | Other | BCBSFL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.94 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0045066 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Memorial Health System | Past | Accepting new patients | |
| Morgan Medical Corp | Diagnostic Radiology | Past | Accepting new patients |
| LMR Imaging | Diagnostic Radiology | Past | Accepting new patients |
| Florida Foot and Ankle Physicians PA | Past | Accepting new patients | |
| Charlotte Resources Inc | Diagnostic Radiology | Past | Accepting new patients |
| Irbf Inc | Past | Accepting new patients | |
| Irbf, Inc. | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JHFHBA
Organizations & group practices 7
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.
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- Diagnostic Radiology Physician
- Port Charlotte, FL
- NPI 1659364743
-
- Primary Podiatric Medicine Podiatrist
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- NPI 1770598617
-
- Podiatrist
- North Fort Myers, FL
- NPI 1194891655
-
- Foot & Ankle Surgery Podiatrist
- N. Fort Myers, FL
- NPI 1265620348
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
-
- Diagnostic Radiology Physician
- Fort Myers, FL
- NPI 1649263724
-
- Diagnostic Radiology Physician
- Titusville, FL
- NPI 1679566756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397001600000",
"number": "1366499329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8791 CONFERENCE DR",
"address_2": "SUITE 1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339195822",
"telephone_number": "239-938-3506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 BARKLEY CIR",
"address_2": "STE. 100 & 101",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339074514",
"telephone_number": "239-938-3500",
"fax_number": "239-278-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIENSTRA",
"first_name": "JOSEPH",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2014-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME0045066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300064841",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "205472",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004093006",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL WC CERTIFICATION",
"identifier": "ME45066",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "O36234400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL",
"identifier": "36420",
"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 Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.