NPI age
20 years
Enumerated 2006-01-03
● Active
Type 1 · Individual
DR. Jonathan S. Deitch, M.D.
Deitch is 1 of 26 surgery providers in Fort Worth and 1 of 489 in Texas.
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
TX, NY
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-10-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 489 active surgery providers in Texas.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
0
49% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Practice location
1325 Pennsylvania Ave Ste 680
Fort Worth, TX 761042133
Mailing address
1325 Pennsylvania Ave Ste 680
Fort Worth, TX 761042133
Specialties
-
Surgery PrimaryA surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (NY) | 01921764 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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