Individual provider Active NPI

Jahan Jonathan Rad, MD

  • Emergency Medicine Physician
  • Naples, FL
National Provider Identifier
1629573290
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME149795 Issued in FL
Practice address
350 7TH St N
Naples, FL 34102-5754
Phone
(239) 624-5000
NPI assigned
Mar 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T1816 TX
Emergency Medicine Physician 207P00000X 76353 WI
Emergency Medicine Physician 207P00000X 89400 GA
Emergency Medicine Physician 207P00000X ME149795 FL Primary

Addresses

Primary practice location

350 7TH St N
Naples, FL 34102-5754

Mailing address

1378 11TH CT N
Naples, FL 34102-5224
Phone (404) 944-0309

Other practice location 1

111 Dallas St
San Antonio, TX 78205-1201
Phone (121) 029-7700

Other practice location 2

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (180) 677-5820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210927000180 FL Practitioner - Emergency Medicine 5890047336 Reassigns benefits to 3 organizations
I20220303000955 TX Practitioner - Emergency Medicine 5890047336 Reassigns benefits to 4 organizations
I20221128001003 GA Practitioner - Emergency Medicine 5890047336 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians
Southwest Florida Emergency Management LLCGroup PAC ID 0648314393, 42 clinicians
The Bortolazzo Group, LLCGroup PAC ID 3476554320, 98 clinicians

Practice addresses (Care Compare)

200 Ave F NE
Winter Haven, FL 33881-4131
Phone (863) 293-1121

350 7TH St N
Naples, FL 34102-5754
Phone (239) 436-5000

8954 Hospital Dr
Douglasville, GA 30134-2282
Phone (770) 949-1500

Hospital & facility affiliations

  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009887GAMDGeneral Practice Dentistry
ME149795FLMDEmergency Medicine Physician
89400GAMDEmergency Medicine Physician
76353WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Feb 22, 2022 Accepting new patients
Thse - Marco Urgent Care LLC CurrentSince Aug 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Emergency Associates of Central Texas PA Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Mar 30, 2022 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince Sep 17, 2023 Accepting new patients
Southwest Florida Emergency Management LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Angelfish Emergency Physicians, LLC Emergency Medicine CurrentSince Nov 18, 2022 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Aug 19, 2023 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine Past Accepting new patients

Locations

40 S Heathwood Dr
Marco Island, FL 34145
Phone (239) 393-4079

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

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

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

2160 Fountain Dr
Snellville, GA 30078
Phone (770) 982-1111

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

1890 George Dieter Dr
El Paso, TX 79936
Phone (915) 219-9404

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 11

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1629573290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378 11TH CT N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025224",
            "telephone_number": "404-944-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 7TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025754",
            "telephone_number": "239-624-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Dallas St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782051201",
            "country_code": "US",
            "telephone_number": "121-029-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794153364",
            "country_code": "US",
            "telephone_number": "180-677-5820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAD",
        "first_name": "JAHAN",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T1816",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "76353",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "89400",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME149795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.