NPIMap

Individual provider Active NPI

Jeffrey D Neitlich, MD

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1730171075
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
064616 Issued in GA
Practice address
4300 Alton Rd
Ascher BLDG, 2ND Floor
Miami, FL 33140
Phone
(305) 674-3977
Fax
(305) 535-7919
NPI assigned
Aug 22, 2005
Last updated
Jun 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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 033400 CT
Diagnostic Radiology Physician 2085R0202X 064616 GA Primary

Addresses

Primary practice location

4300 Alton Rd
Ascher BLDG, 2ND Floor
Miami, FL 33140

Mailing address

4300 Alton Rd
Ascher BLDG, 2ND Floor
Miami, FL 33140-2800
Phone (305) 674-3977

Other identifiers 1

IdentifierTypeStateIssuer
001334002MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181015002385 GA Practitioner - Diagnostic Radiology 2466555248 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians
Emory Medical Care Foundation IncGroup PAC ID 4981501814, 1,003 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100Reported as group
Quality
73.72
Promoting interoperability
100
Improvement activities
40
Cost
75.22

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Current Accepting new patients
Emory Medical Care Foundation Inc Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc Diagnostic Radiology CurrentSince Apr 29, 2013 Accepting new patients
Physician Practices of MSMC, LLC CurrentSince Oct 1, 2011 Accepting new patients
The Emory Clinic Inc Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
Mount Sinai Medical Center CurrentSince Feb 19, 2007 Accepting new patients
Mount Sinai Mental Health LLC Past Accepting new patients
Michigan Radiology PC Diagnostic Radiology Past Accepting new patients
New Haven Radiology Associates, P.C. Diagnostic Radiology Past Accepting new patients
New Haven Radiology Associates PC Past Accepting new patients
Southern Connecticut Imaging Centers LLC Past Accepting new patients

Locations

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

4300 Alton Rd
#2522
Miami Beach, FL 33140
Phone (305) 674-2240

4300 Alton Rd
Bldg 2ND
Miami Beach, FL 33140
Phone (305) 674-3977

4300 Alton Rd
Ste 2522
Miami Beach, FL 33140
Phone (305) 674-2071

12902 Usf Magnolia Dr
Tampa, FL 33612
Phone (813) 745-2720

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/
  • Direct secure messaging: jeffrey.neitlich@direct.moffitt.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1730171075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "ASCHER BLDG, 2ND FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331402800",
            "telephone_number": "305-674-3977",
            "fax_number": "305-535-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "ASCHER BLDG, 2ND FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33140",
            "telephone_number": "305-674-3977",
            "fax_number": "305-535-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEITLICH",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "033400",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "064616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001334002",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.