Individual provider Active NPI

Dwight Phelps, MD

  • Emergency Medicine Physician
  • Ft Myers, FL
National Provider Identifier
1013989060
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME0083323 Issued in FL
Practice address
13681 Doctors Way
Ft Myers, FL 33912-4300
Phone
(239) 768-8611
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME0083323 FL Primary

Addresses

Primary practice location

13681 Doctors Way
Ft Myers, FL 33912-4300

Mailing address

P.O. Box 634748
Cincinnati, OH 45263-0001

Other identifiers 1

IdentifierTypeStateIssuer
12008OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061219000146 FL Practitioner - Emergency Medicine 4385643444 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21811COMDPharmacist
ME0083323FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Florida Emergency Physicians, PA Emergency Medicine CurrentSince Jul 19, 2006 Accepting new patients
Platte Valley Emergency Physicians, PC Emergency Medicine Past Accepting new patients
South Gulf Coast Emergency Physicians PA Emergency Medicine Past Accepting new patients

Locations

10201 Arcos Ave
Ste 105
Estero, FL 33928
Phone (239) 333-2273

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013989060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 634748",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13681 DOCTORS WAY",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339124300",
            "telephone_number": "239-768-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "DWIGHT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME0083323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12008",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Myers, FL

Sources for this page

Verify at the official NPI Registry.