DR. JORDAN DITCHEK (M.D.) – Diagnostic Radiology Physician, NPI 1063415248

DR. JORDAN DITCHEK (M.D.) is a healthcare provider. based in Hollywood, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. ME81781 (FL). The NPI Number for DR. JORDAN DITCHEK (M.D.) is 1063415248

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. JORDAN DITCHEK (M.D.)
NPI
1063415248
Phone
(954) 987-2000
Address
3501 JOHNSON ST
Enumeration Date
23 May 2005
Last Update Date
16 December 2021

Doctor Profile

Medical School Name
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Secondary Phone
9043995550
Graduation Year
1995 (31 years ago)
PAC ID
2466349261
Group Practice PAC ID
8820077878
Professional Enrollment ID
I20040304000246
Address ID
FL330218216HO3600XSTXX300

Contacts

Secure Messaging
jditchek10909@MHSDIRECT.NET
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:21State licenses:1Other namesUpdated within 12 months

3,168 DIAGNOSTIC RADIOLOGY in FL

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Provider Addresses for DR. JORDAN DITCHEK (M.D.)

  • Memorial Regional Hospital, 3501, Johnson Street, West Hollywood, Hollywood, Broward County, Florida, 33021, United States of America

    HOLLYWOOD, FL 330215421

    Phone: (954) 987-2000

    Fax: (954) 437-6628

    Type: Location

  • Pines Boulevard, Pembroke Pines, Broward County, Florida, 33024, United States of America

    STE 200

    PEMBROKE PINES, FL 330246456

    Phone: (954) 437-4800

    Fax: (954) 437-6628

    Type: Mailing

  • 500 N HIATUS RD STE 200

    PEMBROKE PINES, FL 330265213

    Phone: (954) 437-4800

    Fax: (954) 437-6628

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040304000246IDiagnostic RadiologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71250Ct scan of chest without contrast153153$0
71260Ct scan of chest with contrast145141$0
74177Ct scan of abdomen and pelvis with contrast144139$0
74176Ct scan of abdomen and pelvis without contrast135133$0
71045X-ray of chest, 1 view9684$0
View full utilization report →

Insurance plans in this area (ZIP 33021)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820077878View full group profile
NameSpecialtyState
Diagnostic RadiologyGA
Interventional RadiologyFL
Diagnostic Radiology, Interventional RadiologyOH
Diagnostic RadiologyFL
Diagnostic RadiologyWI
-FL
Neurology, Nuclear Medicine, Diagnostic RadiologyFL
Diagnostic RadiologyKY
-FL
Diagnostic RadiologyTN

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JORDAN DITCHEK (M.D.)'s NPI?
Yes. DR. JORDAN DITCHEK (M.D.) is listed with NPI 1063415248 in the public NPI dataset.
Is DR. JORDAN DITCHEK (M.D.) still practicing?
DR. JORDAN DITCHEK (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. JORDAN DITCHEK (M.D.)?
For research purposes, treat DR. JORDAN DITCHEK (M.D.) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. JORDAN DITCHEK (M.D.) list a practice location?
Patients near Hollywood, Florida may find DR. JORDAN DITCHEK (M.D.) in results; validate coverage separately.
Is the information about DR. JORDAN DITCHEK (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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