Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan S. Deitch, MD

Individual provider Vascular Surgery Physician · NPI 1679551469

Dr. Jonathan S. Deitch, MD is a Vascular Surgery in Fort Worth, Texas. Graduated from New York Medical College in 1991, 35 years ago. Practices with Texas Health Physicians Group, a 1,356-clinician group and accepts Medicare assignment. Licensed in New York and Texas.

Years since qualifying
35
Trained at
New York Medical College
Licensed in
NY, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1325 Pennsylvania Ave Ste 680
Fort Worth, TX 76104-2133
Phone: (817) 250-4235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence T3610 (TX)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 194966-1 (NY)

Record details

NPI number1679551469
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 3, 2006
Last updated in NPPESOctober 20, 2021
Certification dateOctober 20, 2021
Mailing address1325 Pennsylvania Ave Ste 680, Fort Worth, TX 76104-2133

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1991 (35 years in practice)
Group practice Texas Health Physicians Group — 1356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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