Active NPI
Jodan Pathinathan, MD
- Allergy & Immunology (Internal Medicine) Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- 307633
- Practice address
- 4761 S Cleveland Ave Ste 3
Fort Myers, FL 33907-1375 - Phone
- (239) 343-9722
- Fax
- (239) 343-9725
- NPI assigned
- Jun 2, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 307633 | NY | Primary |
| Allergy & Immunology Physician | 207K00000X | ME176436 | FL |
Addresses
Primary practice location
4761 S Cleveland Ave Ste 3
Fort Myers, FL 33907-1375
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-9722
Other practice location 1
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129307200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 826-4959
4761 S Cleveland Ave
Suite 3
Fort Myers, FL 33907-1375
Phone (239) 343-9722
Hospital & facility affiliations
- Suny/Downstate University Hospital of Brooklyn
- Cape Coral Hospital
- Lee Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME176436 | FL | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians of Brooklyn, Inc. | Allergy & Immunology | Current | Accepting new patients |
| Lee Health System Inc | Current | Accepting new patients | |
| Premier Inpatient Partners LLC | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| Lee Health System Inc | Allergy & Immunology | Current | Accepting new patients |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| University Hospital of Brooklyn Suny Downstate Health Sciences Univers | Past | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
3501 Health Center Blvd
Ste 2190
Estero, FL 34135
Phone (239) 468-0300
4761 S Cleveland Ave
Ste 3
Fort Myers, FL 33907
Phone (239) 343-9722
2338 Immokalee Rd
Naples, FL 34110
Phone (239) 330-2933
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481
450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
Allergy & Immunology
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1366506271
-
- Hospitalist Physician
- Naples, FL
- NPI 1568916492
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1568419000
Allergy & Immunology
-
- Child & Adolescent Psychiatry Physician
- Brooklyn, NY
- NPI 1689715476
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1639179328
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1639179328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1780112896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-9722",
"fax_number": "239-343-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4761 S CLEVELAND AVE STE 3",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071375",
"telephone_number": "239-343-9722",
"fax_number": "239-343-9725"
}
],
"practiceLocations": [
{
"address_1": "450 Clarkson Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112032012",
"country_code": "US",
"telephone_number": "718-270-1566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATHINATHAN",
"first_name": "JODAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-02",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "NY",
"license": "307633",
"primary": true
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "FL",
"license": "ME176436",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129307200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.