Individual provider Active NPI

Edward J Danehy, MD

  • Diagnostic Radiology Physician
  • Fort Myers, FL
National Provider Identifier
1891749008
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME68609 Issued in FL
Practice address
3680 Broadway
Fort Myers, FL 33901-8005
Phone
(239) 936-2316
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME68609 FL Primary

Addresses

Primary practice location

3680 Broadway
Fort Myers, FL 33901-8005

Mailing address

3660 Broadway
Fort Myers, FL 33901-8005
Phone (239) 936-2316

Other identifiers 5

IdentifierTypeStateIssuer
5227011OtherAETNA PPO
0626029OtherAETNA HMO
27398OtherBCBS
378630700MedicaidFL
ME68609OtherFLFLORIDA LICENSE

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
I20041110000114 FL Practitioner - Diagnostic Radiology 4789647819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tufts University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Regional Center P a 60 clinicians

Practice addresses (Care Compare)

700 Goodlette N Rd
Naples, FL 34102-5644
Phone (239) 936-2316

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME68609FLMDDiagnostic Radiology Physician

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
M. R. Imaging Systems, Inc. CurrentSince Jun 1, 2012 Accepting new patients
Radiology Regional Center Professional Services LLC Diagnostic Radiology CurrentSince Apr 1, 2015 Accepting new patients
Radiology Regional Center P a Diagnostic Radiology CurrentSince Jul 1, 1995 Accepting new patients
Radiology Regional Center, PA Diagnostic Radiology PastSince Aug 28, 2021 Accepting new patients
Radiology Regional Center, PA Diagnostic Radiology PastSince Aug 28, 2021 Accepting new patients

Locations

9776 Bonita Beach Rd SE
Bonita Springs, FL 34135
Phone (239) 444-2200

1708 Cape Coral Pkwy W
Ste 3
Cape Coral, FL 33914
Phone (239) 541-3800

523 Cape Coral Pkwy E
Cape Coral, FL 33904
Phone (239) 549-2772

805 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 242-8010

10201 Arcos Ave
Ste 101
Estero, FL 33928
Phone (239) 444-5800

3680 Broadway
Fort Myers, FL 33901
Phone (239) 936-0380

2727 Winkler Ave
Fort Myers, FL 33901
Phone (239) 939-1147

6100 Winkler Rd
Fort Myers, FL 33919

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

14551 Hope Center Loop
Ste 100
Fort Myers, FL 33912
Phone (399) 362-3162

3660 Broadway
Fort Myers, FL 33901
Phone (239) 424-1449

6100 Winkler Rd
Ste A
Fort Myers, FL 33919
Phone (239) 931-8300

6140 Winkler Rd
Fort Myers, FL 33919

1110 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 344-1000

700 Goodlette Rd
Naples, FL 34102
Phone (239) 430-1400

18300 Murdock Cir
Bldg 15
Port Charlotte, FL 33948
Phone (941) 255-7901

18300 Murdock Cir
Unit 101
Port Charlotte, FL 33948

6600 University Pkwy
Ste 102
Sarasota, FL 34240
Phone (941) 378-3231

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1891749008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018005",
            "telephone_number": "239-936-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018005",
            "telephone_number": "239-936-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANEHY",
        "first_name": "EDWARD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME68609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5227011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0626029",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27398",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378630700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "ME68609",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.