Jessica Ann Naiditch, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

125053201 Issued in IL

Practice address

1301 Barbara Jordan Blvd Ste 400
Austin, TX 78723-3078

Phone

(512) 324-9999

NPI assigned

Aug 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.naiditch.1@8363.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/8363/brand/2/csg/1/fhir/r4

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.

• Surgeons Who Only Care for Kids, PA

  • Surgery Physician
  • Austin, TX
  • NPI 1144315383
  Medicare reassignment NPD
• Surgeons Who Only Care for Kids, PA

  • Surgery Physician
  • Cedar Park, TX
  • NPI 1386192656
  NPD
• Ascension Seton

  • Children's Hospital
  • Austin, TX
  • NPI 1447355771
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1861648933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12619 MONTFORT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301715",
            "telephone_number": "972-803-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233078",
            "telephone_number": "512-324-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIDITCH",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125053201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joelle Nagel, LCSW
• Alegra Rubenia Naghi
• Lori Michelle Naglieri, MD
• Meagan Nagy
• Brian Christopher Nahas, MD
• Aanvi Naidu, DDS
• Padmaja Abhang Naik, MD
• Saloni Naik
• Sparshee Naik, MD
• James Matthew Nail

• Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.