Individual provider Active NPI

Jeffrey L Ortstadt, M.D.

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1467480376
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME130283 Issued in FL
Practice address
11215 Metro Pkwy BLDG 3
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2024043619 MO
Neurology Physician 2084N0400X G50462 CA
Neurology Physician 2084N0400X N3965 TX
Neurology Physician 2084N0400X 35.151451 OH
Neurology Physician 2084N0400X ME130283 FL Primary

Addresses

Primary practice location

11215 Metro Pkwy BLDG 3
Fort Myers, FL 33966-1206

Mailing address

7005 Cortez Rd W
Bradenton, FL 34210-2509
Phone (941) 750-0602

Other practice location 1

7005 Cortez Rd W
Bradenton, FL 34210-2509
Phone (941) 750-0602

Other practice location 2

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Other practice location 3

2790 Clay Edwards Dr Ste 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

Other identifiers 3

IdentifierTypeStateIssuer
00G504620MedicaidCA
203608901MedicaidTX
203608902OtherTXCSHCN

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Direct Messaging Address jortstadt917560@direct.ketteringhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, OH, NY, SC, IA, ND, MO8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20090728000235 TX Practitioner - Neurology 4880631274 Reassigns benefits to 1 organization
I20170202000817 FL Practitioner - Neurology 4880631274 Reassigns benefits to 1 organization
I20240730002272 OH Practitioner - Neurology 4880631274 Reassigns benefits to 1 organization
I20241015002407 NY Practitioner - Neurology 4880631274 Reassigns benefits to 4 organizations
I20241018003409 SC Practitioner - Neurology 4880631274 Reassigns benefits to 4 organizations
I20241109000368 IA Practitioner - Neurology 4880631274
I20241204004423 ND Practitioner - Neurology 4880631274 Reassigns benefits to 1 organization
I20250106001251 MO Practitioner - Neurology 4880631274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
82.54
Promoting interoperability
89.05
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G50462CAMDNeurology Physician
ME130283FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altru Health System CurrentSince Nov 21, 2024 Accepting new patients
McLeod Health Cheraw CurrentSince Sep 15, 2024 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Sep 15, 2024 Accepting new patients
St. Joseph Hospital CurrentSince Oct 1, 2024 Accepting new patients
Mercy Medical Center Current Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Sep 15, 2024 Accepting new patients
McLeod Health Clarendon CurrentSince Sep 15, 2024 Accepting new patients
McLeod Health Clarendon CurrentSince Sep 15, 2024 Accepting new patients
St Charles Hospital Corp CurrentSince Oct 1, 2024 Accepting new patients
Nchmd Inc Current Accepting new patients
Meritas Health Corporation Neurology CurrentSince Mar 1, 2025 Accepting new patients
St. Catherine of Siena Medical Center CurrentSince Oct 1, 2024 Accepting new patients
McLeod Health Cheraw CurrentSince Sep 15, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Neurology CurrentSince Jun 14, 2009 Accepting new patients
Mercy Medical Center CurrentSince Oct 1, 2024 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Neurology CurrentSince Sep 15, 2024 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 15, 2024 Accepting new patients
Nchmd, Inc CurrentSince May 1, 2024 Accepting new patients
Altru Health System CurrentSince Nov 21, 2024 Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince May 1, 2024 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Jul 15, 2024 Accepting new patients
Meritas Health Corporation Neurology CurrentSince Mar 1, 2025 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jun 14, 2009 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Napa Valley Neurology Medical Group Inc Neurology PastSince Apr 30, 2003 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Neuro Health & Wellness Center PLLC Neurology PastSince Aug 28, 2022 Accepting new patients

Locations

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

9411 N Oak Trfy
Kansas City, MO 64155
Phone (816) 453-4000

2790 Clay Edwards Dr
#1235
North Kansas City, MO 64116
Phone (816) 472-5157

2790 Clay Edwards Dr
Ste 1235
North Kansas City, MO 64116
Phone (816) 472-5157

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

5303 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Phone (214) 645-2300

Interoperability endpoints

  • Direct secure messaging: jeffrey.ortstadt@hca4.eclinicaldirectplus.com
  • Direct secure messaging: jortstadt2946495@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1467480376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102509",
            "telephone_number": "941-750-0602",
            "fax_number": "941-748-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY BLDG 3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7005 Cortez Rd W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342102509",
            "country_code": "US",
            "telephone_number": "941-750-0602",
            "fax_number": "941-748-5626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Eaton Ave",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450132767",
            "country_code": "US",
            "telephone_number": "513-867-2000",
            "fax_number": "513-867-2119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2790 Clay Edwards Dr Ste 1235",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163276",
            "country_code": "US",
            "telephone_number": "816-472-5157",
            "fax_number": "816-472-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTSTADT",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2024043619",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G50462",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "N3965",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.151451",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME130283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G504620",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203608901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "203608902",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jortstadt917560@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.