Individual provider Active NPI

John P. Lindenthal, M.D.

  • Anesthesiology Physician
  • Vero Beach, FL
National Provider Identifier
1942201355
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
96091 Issued in FL
Practice address
1555 Indian River Blvd
Suite B120
Vero Beach, FL 32960-5639
Phone
(772) 778-9621
Fax
(772) 778-3494
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NH10428 NH
Anesthesiology Physician 207L00000X 96091 FL Primary

Addresses

Primary practice location

1555 Indian River Blvd
Suite B120
Vero Beach, FL 32960-5639

Mailing address

1555 Indian River Blvd
Suite B120
Vero Beach, FL 32960-5639
Phone (772) 778-9621

Other identifiers 1

IdentifierTypeStateIssuer
30200027MedicaidNH

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
I20070621000466 FL Practitioner - Anesthesiology 5294710216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Texas Tech University Health Science Center School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

Practice addresses (Care Compare)

1000 36TH St
Vero Beach, FL 32960-4862
Phone (772) 567-4311

1190 37TH St
Vero Beach, FL 32960-6507
Phone (772) 567-4311

Hospital & facility affiliations

  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NH10428NHMDSpecialist
96091FLMDAnesthesiology Physician

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Indian River Health Services Inc CurrentSince Oct 1, 2019 Accepting new patients
Indian River Health Services Inc CurrentSince Oct 1, 2019 Accepting new patients

Locations

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cleveland Clinic Indian River HospitalVero Beach, FL, CCN 100105 Hospital Corporate Director Dec 15, 2021
Behavioral Health CenterVero Beach, FL, CCN 10S105 Hospital Corporate Director Dec 15, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 1

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1942201355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 INDIAN RIVER BLVD",
            "address_2": "SUITE B120",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605639",
            "telephone_number": "772-778-9621",
            "fax_number": "772-778-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 INDIAN RIVER BLVD",
            "address_2": "SUITE B120",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605639",
            "telephone_number": "772-778-9621",
            "fax_number": "772-778-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDENTHAL",
        "first_name": "JOHN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NH",
            "license": "NH10428",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "96091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30200027",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.