Organization Active NPI

Sunil Malkani MD PA

  • Specialist
  • Fort Myers, FL
National Provider Identifier
1013216076
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME81904 Issued in FL
Legal business name
SUNIL MALKANI MD PA
Practice address
9201 Cypress Lake Dr
Fort Myers, FL 33919-4941
Phone
(239) 324-4888
NPI assigned
Mar 16, 2011
Last updated
Sep 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sunil Malkani, M.D.NPI 1134191976
Title
Owner
Phone
(561) 271-5040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME81904 FL Primary

Addresses

Primary practice location

9201 Cypress Lake Dr
Fort Myers, FL 33919-4941

Mailing address

PO Box 111600
Naples, FL 34108-0127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111107000747 FL Part B Supplier - Clinic/Group Practice 9436322468 Receives reassigned benefits from 2 practitioners
Practice locations: Naples, FL; Port Charlotte, FL; Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

3161 Harbor Blvd
Ste D
Pt Charlotte, FL 33952
Phone (239) 324-4888

2825 Tamiami Trl
Ste B3
Punta Gorda, FL 33950
Phone (855) 625-5264

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1013216076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111600",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 CYPRESS LAKE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194941",
            "telephone_number": "239-324-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNIL MALKANI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "MALKANI",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-271-5040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME81904",
            "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 Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.