Individual provider Active NPI

Dwight L. Fitch, MD

  • Radiation Oncology Physician
  • Bradenton, FL
National Provider Identifier
1871540278
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME0095935 Issued in FL
Practice address
5325 E State Road 64
Bradenton, FL 34208-5534
Phone
(941) 220-6263
Fax
(864) 909-9100
NPI assigned
May 30, 2006
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME0095935 FL Primary

Addresses

Primary practice location

5325 E State Road 64
Bradenton, FL 34208-5534

Mailing address

1860 Boy Scout Dr Ste 201
Fort Myers, FL 33907-2119
Phone (239) 215-1180

Other practice location 1

3080 Harbor Blvd
Port Charlotte, FL 33952-6720
Phone (941) 883-2199

Other identifiers 9

IdentifierTypeStateIssuer
363218OtherFLWELLCARE PROVIDER #
53040OtherFLBCBS FL PROVIDER #
OV541OtherFLMEDICARE
7229796OtherFLAETNA PROVIDER #
276150500MedicaidFL
ME95935OtherFLMETCARE PROVIDER #
OV540OtherFLMEDICARE
4969206OtherFLCIGNA PROVIDER #
P00348796OtherFLRAILROAD MEDICARE PIN #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY, IN, ND4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20060918000346 FL Practitioner - Radiation Oncology 2567467954 Reassigns benefits to 2 organizations
I20260401003302 KY Practitioner - Radiation Oncology 2567467954 Reassigns benefits to 1 organization
I20260402002968 IN Practitioner - Radiation Oncology 2567467954 Reassigns benefits to 1 organization
I20260515000756 ND Practitioner - Radiation Oncology 2567467954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Michigan Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians
Advocate Radiation Oncology LLCGroup PAC ID 1658613096, 21 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians

Practice addresses (Care Compare)

200 3Rd Ave W
Suite 210
Bradenton, FL 34205-8633
Phone (941) 792-0340

3080 Harbor Blvd
Port Charlotte, FL 33952-6720
Phone (941) 883-2199

900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 825-5800

960 S Columbia Rd
Grand Forks, ND 58201-4030
Phone (701) 780-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.72 of 100Reported as group
Quality
81.71
Improvement activities
40
Cost
88.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0095935FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Radiation Oncology, LLC Radiation Oncology CurrentSince Feb 1, 2022 Accepting new patients

Locations

25243 Elementary Way
Bonita Springs, FL 34135
Phone (239) 204-4933

5325 E State Road 64
Bradenton, FL 34208
Phone (941) 220-6263

6215 21st Ave W
#B
Bradenton, FL 34209
Phone (941) 795-2270

15681 New Hampshire Ct
Fort Myers, FL 33908
Phone (239) 437-1977

1860 Boy Scout Dr
Ste 201
Fort Myers, FL 33907
Phone (239) 274-3269

8946 77th Ter E
Lakewood Ranch, FL 34202
Phone (941) 792-0340

3080 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 625-0111

8026 S Tamiami Trl
Venice, FL 34293
Phone (352) 363-2025

8026 S Tamiami Trl
Ste 7850
Venice, FL 34293

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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 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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1871540278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 BOY SCOUT DR STE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072119",
            "telephone_number": "239-215-1180",
            "fax_number": "239-215-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085534",
            "telephone_number": "941-220-6263",
            "fax_number": "864-909-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3080 Harbor Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339526720",
            "country_code": "US",
            "telephone_number": "941-883-2199",
            "fax_number": "941-979-5041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITCH",
        "first_name": "DWIGHT",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME0095935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE PROVIDER #",
            "identifier": "363218",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL PROVIDER #",
            "identifier": "53040",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "OV541",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "7229796",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276150500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METCARE PROVIDER #",
            "identifier": "ME95935",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "OV540",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "4969206",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN #",
            "identifier": "P00348796",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.