DR. JONATHAN S. DEITCH M.D. NPI 1679551469

NPI Information

  • NPI: 1679551469
  • Provider Name: DR. JONATHAN S. DEITCH, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1325 PENNSYLVANIA AVE STE 680
    FORT WORTH, TX
    ZIP 76104
  • Phone: (817) 250-4235

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NPI Details

DR. Jonathan S. Deitch, M.D. is a vascular surgery surgery in Fort Worth, TX with 34 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Jonathan S. Deitch, M.D. NPI is 1679551469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1991

The provider's business location address is:

1325 PENNSYLVANIA AVE STE 680
FORT WORTH, TX
ZIP 76104-133
Phone: (817) 250-4235

The NPI 1679551469 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Removal of blood clot and portion of chest, neck, or brain artery (HCPCS:35301)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 1/3/2006 and was last updated on 10/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery194966-1NEW YORKNo
22086S0129XSurgeryVascular SurgeryT3610TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101921764MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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