Individual provider Active NPI

Daniel Bendetowicz, MD

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1891793287
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME75758 Issued in FL
Practice address
6840 International Center Blvd
Fort Myers, FL 33912-7161
Phone
(239) 985-1050
Fax
(239) 985-1060
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME75758 FL Primary

Addresses

Primary practice location

6840 International Center Blvd
Fort Myers, FL 33912-7161

Mailing address

6840 International Center Blvd
Fort Myers, FL 33912-7161
Phone (239) 985-1050

Other practice location 1

6840 International Center Blvd
Fort Myers, FL 33912-7161
Phone (239) 985-1050

Other identifiers 1

IdentifierTypeStateIssuer
P00141144OtherFLRAILROAD PROVIDER NUMBER

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
I20040804000416 FL Practitioner - Internal Medicine 0648241794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6840 International Ctr Blvd
Fort Myers, FL 33912-7161
Phone (239) 985-1050

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • HCA Florida Healthcare at Home Home health agency, PT Charlotte, FL, CCN 108013
  • Amedisys Home Health Home health agency, Port Charlotte, FL, CCN 108270
  • Lee Memorial Home Health, Inc. Home health agency, Fort Myers, FL, CCN 107191
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Bendetowicz, M.D., P.a. Internal Medicine CurrentSince May 20, 2004 Accepting new patients
Lisa Bendetowicz, LCSW, LLC CurrentSince Aug 18, 2019 Accepting new patients
Axel Health LLC Internal Medicine CurrentSince Jul 22, 2024 Accepting new patients
Charlotte Heart & Vascular Center Past Accepting new patients

Locations

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

6840 International Center Blvd
Fort Myers, FL 33912
Phone (239) 850-3402

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGADBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EGADBA/Endpoint/EGADBA
  • Direct secure messaging: daniel.bendetowicz@db.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891793287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 INTERNATIONAL CENTER BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127161",
            "telephone_number": "239-985-1050",
            "fax_number": "239-985-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 INTERNATIONAL CENTER BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127161",
            "telephone_number": "239-985-1050",
            "fax_number": "239-985-1060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6840 International Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339127161",
            "country_code": "US",
            "telephone_number": "239-985-1050",
            "fax_number": "239-985-1060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENDETOWICZ",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME75758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER NUMBER",
            "identifier": "P00141144",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.