Individual provider Active NPI

David C. Jannotta, M.D.

  • Diagnostic Radiology Physician
  • Boca Raton, FL
National Provider Identifier
1609856285
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME158646 Issued in FL
Practice address
951 NW 13TH St Ste 1D
Boca Raton, FL 33486-2337
Phone
(561) 447-9341
Fax
(561) 447-9352
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101233285 VA
Diagnostic Radiology Physician 2085R0202X ME158646 FL Primary

Addresses

Primary practice location

951 NW 13TH St Ste 1D
Boca Raton, FL 33486-2337

Mailing address

951 NW 13TH St Ste 1D
Boca Raton, FL 33486-2337
Phone (561) 447-9341

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
I20230222000399 FL Practitioner - Diagnostic Radiology 6608249602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Florida College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Diagnostic Centers of America, LLPGroup PAC ID 0547174120, 108 clinicians

Practice addresses (Care Compare)

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

1425 Gateway Blvd
Suite 100
Boynton Beach, FL 33426-8313
Phone (561) 496-6935

1601 Clint Moore Rd
Suite 140
Boca Raton, FL 33487-5714
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

3313 W Hillsboro Blvd
Suite 101
Deerfield Beach, FL 33442-9423
Phone (904) 399-5550

690 Meadows Rd
Boca Raton, FL 33486-2344
Phone (904) 399-5550

701 NW 13TH St
Boca Raton, FL 33486-2305
Phone (904) 399-5550

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (904) 399-5550

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101233285VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Jan 3, 2023 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Nov 8, 2022 Accepting new patients
Boca Radiology Group PA Diagnostic Radiology Past Accepting new patients

Locations

8142 Glades Rd
Boca Raton, FL 33434
Phone (561) 314-2500

1425 Gateway Blvd
Ste 100
Boynton Beach, FL 33426

6080 Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 736-3227

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

3601 Pga Blvd
Ste 100
Palm Beach Gardens, FL 33410

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2700 University Square Dr
Tampa, FL 33612
Phone (813) 251-5822

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

2565 S State Road 7
Wellington, FL 33414
Phone (561) 727-2300

2863 S State Road 7
Ste 400
Wellington, FL 33414

1572 Palm Beach Lakes Blvd
Ste 2
West Palm Beach, FL 33401

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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 3

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1609856285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 NW 13TH ST STE 1D",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862337",
            "telephone_number": "561-447-9341",
            "fax_number": "561-447-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 NW 13TH ST STE 1D",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862337",
            "telephone_number": "561-447-9341",
            "fax_number": "561-447-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANNOTTA",
        "first_name": "DAVID",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101233285",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME158646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.