Active NPI
Tele-Id Inc
- Infectious Disease Physician
- Fort Myers, FL
National Provider Identifier
1003302845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME100391
- Legal business name
- TELE-ID INC
- Practice address
- 14192 Metropolis Ave
Fort Myers, FL 33912-4331 - Phone
- (239) 245-8223
- Fax
- (239) 244-9481
- NPI assigned
- Jul 5, 2018
- Last updated
- Jul 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sivakumar Raman, MD
- Title
- Owner
- Phone
- (239) 245-8223
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME100391 | FL | Primary |
Addresses
Primary practice location
14192 Metropolis Ave
Fort Myers, FL 33912-4331
Mailing address
14192 Metropolis Ave
Fort Myers, FL 33912-4331
Phone (239) 245-8223
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Fort Myers, FL
- NPI 1245239011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1530748800000",
"number": "1003302845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14192 METROPOLIS AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124331",
"telephone_number": "239-245-8223",
"fax_number": "239-244-9481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14192 METROPOLIS AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124331",
"telephone_number": "239-245-8223",
"fax_number": "239-244-9481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELE-ID INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-05",
"last_updated": "2018-07-05",
"status": "A",
"authorized_official_last_name": "RAMAN",
"authorized_official_first_name": "SIVAKUMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-245-8223",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME100391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.