Linda Ann Diteodoro, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME98832 Issued in FL

Practice address

4800 Belfort Road
2ND Floor
Jacksonville, FL 32256

Phone

(904) 398-7205

Fax

(904) 396-4047

NPI assigned

Dec 8, 2006

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

Other identifiers 1

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

Specialty

Gastroenterology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Borland Groover Clinic, PAGroup PAC ID 6507761301, 128 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
• Baptist Medical Center Beaches Hospital, Jacksonville Beach, FL, CCN 100117

Merit-based Incentive Payment System (MIPS)

Final score

78.94 of 100Reported as group

Quality

69.69

Promoting interoperability

89

Improvement activities

40

Cost

69.28

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: linda.diteodoro.p1@direct.bgclinic.nextgenshare.com

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.

• Borland Groover Clinic, PA

  • Gastroenterology Physician
  • Jacksonville, FL
  • NPI 1881644912
  Medicare reassignment Care Compare group NPD
• Richard P Carr Physical Therapy Inc

  • Physical Therapist
  • San Jose, CA
  • NPI 1881676377
  NPD (past)
• Staten Island Hospitalists, PC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1306836978
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Medical Center of the Beaches, Inc

  • General Acute Care Hospital
  • Jacksonville Beach, FL
  • NPI 1821155912
  Care Compare affiliation
• Southern Baptist Hospital of Florida Inc

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1578620449
  Care Compare affiliation

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1902965684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 BELFORT ROAD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-398-3262",
            "fax_number": "904-265-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 BELFORT ROAD",
            "address_2": "2ND FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-398-7205",
            "fax_number": "904-396-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITEODORO",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME98832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000085400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Discovery Mental Health Services
• William Patrick Dishong, M.D.
• Zachary Dismer, FNP
• Lee Charles Dison, ATC/LAT
• Dishaun Disu, LMHC
• Jennifer M Ditges, M.S. CCC-SLP
• Rachel Abigail Ditrapani, MD
• Celeste Eromacys Ditroia, BA, MS, LPC, LMHC
• Kathleen E Ditto, MA OTR
• Gavin Douglas Divertie, MD

• Gastroenterology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.

Verify at the official NPI Registry.