NPIMap

Individual provider Active NPI

Roi Dagan, M.D.

  • Radiation Oncology Physician
  • Jacksonville, FL
National Provider Identifier
1952508491
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME 112634 Issued in FL
Practice address
2015 Jefferson St
University of Florida Proton Therapy Institute
Jacksonville, FL 32206-3531
Phone
(904) 588-1800
Fax
(904) 588-1300
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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 ME 112634 FL Primary

Addresses

Primary practice location

2015 Jefferson St
University of Florida Proton Therapy Institute
Jacksonville, FL 32206-3531

Mailing address

PO Box 116304
Atlanta, GA 30368-6304
Phone (904) 588-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120529000431 FL Practitioner - Radiation OncologyPractitioner - Neurosurgery 3971766007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Florida College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Proton Therapy Institute Inc 12 clinicians

Practice addresses (Care Compare)

2015 Jefferson St
Jacksonville, FL 32206-3531
Phone (904) 588-1800

Hospital & facility affiliations

  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001
  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113
  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090

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
ME 112634FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Proton Therapy Institute Inc Radiation Oncology CurrentSince Jul 1, 2012 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2015 Jefferson St
Jacksonville, FL 32206
Phone (904) 588-1239

Interoperability endpoints

  • Direct secure messaging: rdagan61287@direct.shands.ufl.edu
  • Direct secure messaging: rdagan@directaddress.net

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 12

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1952508491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116304",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303686304",
            "telephone_number": "904-588-1800",
            "fax_number": "904-588-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 JEFFERSON ST",
            "address_2": "UNIVERSITY OF FLORIDA PROTON THERAPY INSTITUTE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322063531",
            "telephone_number": "904-588-1800",
            "fax_number": "904-588-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGAN",
        "first_name": "ROI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME 112634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.