Individual provider Active NPI

Steven Guterman, MD

  • Diagnostic Radiology Physician
  • Fort Myers, FL
National Provider Identifier
1518906882
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME90574 Issued in FL
Practice address
3680 Broadway
Fort Myers, FL 33901-8005
Phone
(239) 936-2316
NPI assigned
Jun 5, 2006
Last updated
May 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME90574 FL Primary

Addresses

Primary practice location

3680 Broadway
Fort Myers, FL 33901-8005

Mailing address

3660 Broadway
Fort Myers, FL 33901-8005
Phone (239) 936-2316

Other identifiers 2

IdentifierTypeStateIssuer
270894900MedicaidFL
ME90574OtherFLFLORIDA LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000760 FL Practitioner - Diagnostic Radiology 2365410008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Regional Center P aGroup PAC ID 9638151756, 60 clinicians

Practice addresses (Care Compare)

10201 Arcos Ave
Suite 101
Estero, FL 33928-9460
Phone (239) 936-2316

1110 Lee Blvd
Lehigh Acres, FL 33936-4844
Phone (239) 936-2316

1708 Cape Coral Pkwy W
Suite 3
Cape Coral, FL 33914-6985
Phone (239) 936-2316

18300 Murdock Cir
Unit 101
Port Charlotte, FL 33948-1116
Phone (239) 936-2316

1875 Veterans Park Dr
Suite 2101
Naples, FL 34109-0596
Phone (239) 936-2316

3660 Broadway
Fort Myers, FL 33901-8005
Phone (239) 936-2316

3670 Broadway
Fort Myers, FL 33901-8005
Phone (239) 936-2316

4561 Kensington Cir
Naples, FL 34119-9069
Phone (239) 936-2316

6100 Winkler Rd
Suite a
Fort Myers, FL 33919-8126
Phone (239) 936-2316

6140 Winkler Rd
Suite a
Fort Myers, FL 33919-8188
Phone (239) 936-2316

6600 University Pkwy
Suite 102
Lakewood Ranch, FL 34240-9040
Phone (239) 936-2316

700 Goodlette N Rd
Naples, FL 34102-5644
Phone (239) 936-2316

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME90574FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Regional Center, PA Diagnostic Radiology PastSince Aug 28, 2021 Accepting new patients
Washington Radiology Assoc PLLC Past Accepting new patients
Washington Radiology Associates, PLLC Past Accepting new patients
Radiology Regional Center, PA Diagnostic Radiology PastSince Aug 28, 2021 Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1518906882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018005",
            "telephone_number": "239-936-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018005",
            "telephone_number": "239-936-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTERMAN",
        "first_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME90574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270894900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "ME90574",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.