NPIMap

Individual provider Active NPI

Mahesha Thimmarayappa, M.D.

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1043300486
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME138498 Issued in FL
Practice address
1855 Veterans Park Dr Ste 304
Naples, FL 34109-0446
Phone
(239) 676-0656
Fax
(239) 533-9735
NPI assigned
Oct 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME138498 FL Primary

Addresses

Primary practice location

1855 Veterans Park Dr Ste 304
Naples, FL 34109-0446

Mailing address

1855 Veterans Park Dr Ste 304
Naples, FL 34109-0446
Phone (239) 676-0656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190731001153 FL Practitioner - Internal Medicine 2668464058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1855 Veterans Park Dr
Suite 304
Naples, FL 34109-0446
Phone (239) 676-0656

Hospital & facility affiliations

  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Pinnacle Home Care Home health agency, Fort Myers, FL, CCN 683113
  • Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176
  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Empath Home Health Home health agency, Fort Myers, FL, CCN 109786
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Bentley Care Center Nursing home, Naples, FL, CCN 106062

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Primary Care Internal Medicine CurrentSince Jan 15, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

860 111th Ave N
Ste 5
Naples, FL 34108
Phone (239) 593-4911

1855 Veterans Park Dr
Ste 304
Naples, FL 34109
Phone (239) 234-2448

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1043300486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 VETERANS PARK DR STE 304",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090446",
            "telephone_number": "239-676-0656",
            "fax_number": "239-533-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 VETERANS PARK DR STE 304",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090446",
            "telephone_number": "239-676-0656",
            "fax_number": "239-533-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIMMARAYAPPA",
        "first_name": "MAHESHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME138498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.