Individual provider Active NPI

Daniel E. Dosoretz, MD

  • Radiation Oncology Physician
  • Port Charlotte, FL
National Provider Identifier
1629073200
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME0038701 Issued in FL
Practice address
3080 Harbor Blvd
Port Charlotte, FL 33952
Phone
(941) 883-2199
Fax
(941) 979-5041
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME0038701 FL Primary

Addresses

Primary practice location

3080 Harbor Blvd
Port Charlotte, FL 33952

Mailing address

3080 Harbor Blvd
Port Charlotte, FL 33952-6720
Phone (941) 883-2199

Other practice location 1

15681 New Hampshire Ct
Fort Myers, FL 33908-4123
Phone (239) 437-1977

Other identifiers 1

IdentifierTypeStateIssuer
066995400MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CITRIX/VARIAN

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
I20100310000384 FL Practitioner - Radiation Oncology 7911802046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocate Radiation Oncology LLCGroup PAC ID 1658613096, 21 clinicians
Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians

Practice addresses (Care Compare)

3080 Harbor Blvd
Port Charlotte, FL 33952-6720
Phone (941) 883-2199

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.72 of 100Reported as group
Quality
81.71
Improvement activities
40
Cost
88.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0038701FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Radiation Oncology, LLC Radiation Oncology CurrentSince Apr 22, 2019 Accepting new patients
Precision Healthcare Specialists, LLC Radiation Oncology CurrentSince Apr 1, 2026 Accepting new patients
Atlantic Urology Clinics LLC PastSince May 3, 2010 Accepting new patients
Yonkers Radiation Medical Practice, PC Radiation Oncology Past Accepting new patients
Proton Fusion, LLC Radiation Oncology PastSince Jan 1, 2025 Accepting new patients
Millennium Physician Group LLC PastSince Aug 1, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Roger Williams Radiation Therapy, LLC Radiation Oncology PastSince Feb 1, 2007 Accepting new patients

Locations

25243 Elementary Way
Bonita Springs, FL 34135
Phone (239) 204-4933

5325 E State Road 64
Bradenton, FL 34208
Phone (941) 220-6263

909 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 217-8070

8931 Colonial Center Dr
Ste 20
Fort Myers, FL 33905

9961 Estero Oaks Dr
Fort Myers, FL 33967
Phone (239) 396-5162

15681 New Hampshire Ct
Fort Myers, FL 33908
Phone (239) 437-1977

8931 Colonial Center Dr
Ste 200
Fort Myers, FL 33905
Phone (239) 343-9523

1860 Boy Scout Dr
Ste 201
Fort Myers, FL 33907
Phone (239) 274-3269

9961 Estero Oaks Dr
Unit 101B
Fort Myers, FL 33967
Phone (239) 516-0009

8931 Colonial Center Dr
Ste 400
Fort Myers, FL 33905
Phone (239) 319-3714

1775 Davis Blvd
Naples, FL 34102
Phone (239) 372-2838

1775 Davis Blvd
Ste 201
Naples, FL 34102

3080 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 625-0111

3175 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 457-8172

7850 N University Dr
Tamarac, FL 33321
Phone (754) 205-0099

8026 S Tamiami Trl
Venice, FL 34293
Phone (941) 220-6460

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 8

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 5

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1629073200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526720",
            "telephone_number": "941-883-2199",
            "fax_number": "941-979-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33952",
            "telephone_number": "941-883-2199",
            "fax_number": "941-979-5041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15681 New Hampshire Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339084123",
            "country_code": "US",
            "telephone_number": "239-437-1977",
            "fax_number": "239-437-1889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSORETZ",
        "first_name": "DANIEL",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME0038701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066995400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CITRIX/VARIAN",
            "affiliation": "N",
            "address_1": "3080 Harbor Blvd",
            "city": "Port Charlotte",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339526720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.