Individual provider Active NPI

Jody Alan Feldman, MD

  • Emergency Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1639111818
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME72845 Issued in FL
Practice address
2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone
(941) 766-4125
Fax
(941) 766-4101
NPI assigned
Jun 12, 2006
Last updated
May 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME72845 FL Primary

Addresses

Primary practice location

2500 Harbor Blvd
Port Charlotte, FL 33952-5000

Mailing address

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4125

Other practice location 1

5000 University Dr
Coral Gables, FL 33146-2008
Phone (305) 669-3469

Other practice location 2

14100 SW 136th St
Miami, FL 33186-5506
Phone (305) 273-2223

Other practice location 3

2521 Del Prado Blvd N
Cape Coral, FL 33909-4003
Phone (239) 242-1357

Other identifiers 1

IdentifierTypeStateIssuer
251748500MedicaidFL

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
I20041020000507 FL Practitioner - Emergency Medicine 6901867373 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of South Florida College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Ies Florida PLLCGroup PAC ID 8921485004, 45 clinicians
Cape Coral Emergency Physicians LLCGroup PAC ID 1557465325, 11 clinicians

Practice addresses (Care Compare)

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4903

636 Del Prado Blvd S
Emergency Dept
Cape Coral, FL 33990-2668
Phone (239) 424-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME72845FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Emergency Medical Physicians PA Emergency Medicine CurrentSince Sep 26, 2021 Accepting new patients
Emergent Physicians of Country Walk, LLC Emergency Medicine CurrentSince May 14, 2019 Accepting new patients
Ies Florida PLLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Apr 3, 2025 Accepting new patients
Lee Memorial Health System CurrentSince Nov 1, 2023 Accepting new patients
Port Charlotte HBP Services LLC Emergency Medicine CurrentSince Oct 19, 2021 Accepting new patients
Cape Coral Emergency Physicians LLC Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
E R Stat Inc Emergency Medicine CurrentSince Oct 1, 1998 Accepting new patients
Larkin Emergency Physicians LLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Nov 1, 2023 Accepting new patients
Emergent Physicians of West Dade, LLC Emergency Medicine PastSince Mar 19, 2023 Accepting new patients
Inphynet South Broward LLC Emergency Medicine Past Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

2521 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 242-1357

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

1475 W 49th St
Hialeah, FL 33012
Phone (305) 824-4761

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

14100 SW 136th St
Miami, FL 33186
Phone (305) 273-2223

14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1639111818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525000",
            "telephone_number": "941-766-4125",
            "fax_number": "941-766-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525000",
            "telephone_number": "941-766-4125",
            "fax_number": "941-766-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 University Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331462008",
            "country_code": "US",
            "telephone_number": "305-669-3469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14100 SW 136th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331865506",
            "country_code": "US",
            "telephone_number": "305-273-2223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2521 Del Prado Blvd N",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339094003",
            "country_code": "US",
            "telephone_number": "239-242-1357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "JODY",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME72845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251748500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.