Individual provider Active NPI

Numthip Chitravas, M.D.

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1073761789
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
318516 Issued in NY
Practice address
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
NPI assigned
Sep 5, 2008
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D0083573 MD
Neurology Physician 2084N0400X U7402 TX
Neurology Physician 2084N0400X MD61417991 WA
Neurology Physician 2084N0400X 318516 NY Primary

Addresses

Primary practice location

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206

Mailing address

1066 Fort Salonga Rd
Northport, NY 11768-1321
Phone (216) 269-5576

Other identifiers 2

IdentifierTypeStateIssuer
1073761789MedicaidMD
1073761789MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NY, WA, NH, MI, OR, GA, FL, PA, IA, CA, NC, ND13 enrollments
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 13

Enrollment IDStateProvider typePAC IDDetails
I20170629000801 MD Practitioner - Neurology 4486898095 Reassigns benefits to 1 organization
I20221004001113 NY Practitioner - Neurology 4486898095 Reassigns benefits to 6 organizations
I20230614003709 WA Practitioner - Neurology 4486898095 Reassigns benefits to 1 organization
I20230815002033 NH Practitioner - Neurology 4486898095 Reassigns benefits to 3 organizations
I20230818001315 MI Practitioner - Neurology 4486898095 Reassigns benefits to 1 organization
I20230901001023 OR Practitioner - NeurologyPractitioner - Other (Physician) 4486898095 Reassigns benefits to 3 organizations
I20230922001375 GA Practitioner - Neurology 4486898095 Reassigns benefits to 2 organizations
I20231021000624 FL Practitioner - Neurology 4486898095 Reassigns benefits to 1 organization
I20231213001539 PA Practitioner - Neurology 4486898095 Reassigns benefits to 2 organizations
I20240314003093 IA Practitioner - Neurology 4486898095
I20250806002234 CA Practitioner - Neurology 4486898095 Reassigns benefits to 1 organization
I20251008001054 NC Practitioner - Neurology 4486898095 Reassigns benefits to 1 organization
I20251211004068 ND Practitioner - Neurology 4486898095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
Gni Neuroservices, LLCGroup PAC ID 7416277702, 25 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians
Onslow Memorial Hospital IncGroup PAC ID 1456252899, 65 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

1066 Fort Salonga Rd
Northport, NY 11768-1321
Phone (239) 208-2212

1205 Langhorne Newtown Rd
Suite 211
Langhorne, PA 19047-1221
Phone (844) 464-6387

1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (706) 253-6985

16 Dupont St
Apt 18H
Brooklyn, NY 11222-8168
Phone (239) 208-2212

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138

2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (844) 464-6387

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

351 Angle Rd
West Seneca, NY 14224-4364
Phone (239) 208-2212

669 Saint Marks Ave
Apt 3B
Brooklyn, NY 11216-3691
Phone (239) 208-2212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0083573MDMDNeurology Physician
U7402TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Emanuel Hospital & Health Center CurrentSince Jun 1, 2025 Accepting new patients
St John's Medical Services PC CurrentSince Nov 1, 2025 Accepting new patients
Nchmd, Inc CurrentSince Aug 10, 2023 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Altru Health System CurrentSince Nov 20, 2025 Accepting new patients
North Shore-Lij Medical PC CurrentSince Sep 1, 2022 Accepting new patients
St Joseph Hospital of Nashua NH Current Accepting new patients
Altru Health System CurrentSince Nov 20, 2025 Accepting new patients
Concord Hospital, Inc. CurrentSince Jul 2, 2023 Accepting new patients
Concord Hospital, Inc. CurrentSince Jul 2, 2023 Accepting new patients
Telespecialists North Carolina Neurology Services PLLC Neurology CurrentSince Sep 15, 2024 Accepting new patients
Global Neurosciences Institute LLC Neurology CurrentSince Feb 20, 2024 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jul 1, 2017 Accepting new patients
Virtual Neurology PC Neurology CurrentSince Aug 19, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jun 6, 2023 Accepting new patients
Silverton Health CurrentSince Aug 14, 2023 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Jun 1, 2025 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Dec 17, 2023 Accepting new patients
Virtual Neurology Texas PLLC Neurology CurrentSince Nov 1, 2023 Accepting new patients
Lakeland Medical Practices CurrentSince Jul 17, 2023 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Jan 10, 2024 Accepting new patients
Lakeland Medical Practices CurrentSince Jul 17, 2023 Accepting new patients
County of Santa Clara CurrentSince Jul 1, 2025 Accepting new patients
Upson County Hospital Inc Neurology CurrentSince Aug 15, 2023 Accepting new patients
Silverton Health Current Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Jul 1, 2017 Accepting new patients
Onslow Memorial Hospital Inc CurrentSince Jun 23, 2025 Accepting new patients
County of Santa Clara Current Accepting new patients
Upson County Hospital Inc CurrentSince Aug 15, 2023 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jun 6, 2023 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Legacy Clinics LLC CurrentSince Aug 14, 2023 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Nchmd Inc Current Accepting new patients
Gni Neuroservices LLC CurrentSince Nov 1, 2023 Accepting new patients
Silverton Health CurrentSince Aug 14, 2023 Accepting new patients
County of Santa Clara CurrentSince Jul 1, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Aug 14, 2023 Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Aug 10, 2023 Accepting new patients
Virtualhealthconnect LLC Neurology Past Accepting new patients
Ozarks Medical Center Neurology Past Accepting new patients

Locations (25 of 41)

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

5051 Greenspring Ave
Baltimore, MD 21209
Phone (410) 601-1441

5051 Greenspring Ave
Ste 300
Baltimore, MD 21209
Phone (410) 601-1900

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

248 Pleasant St
Ste 206
Concord, NH 03301
Phone (603) 230-7266

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBJDCD
  • Direct secure messaging: nchitravas2977262@direct.trinity-health.org
  • Direct secure messaging: numthipchitravas@nslijmedgr.allscriptsdirect.net

Organizations & group practices 42

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

View all 42

Hospital & facility affiliations 6

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": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1073761789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 FORT SALONGA RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681321",
            "telephone_number": "216-269-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITRAVAS",
        "first_name": "NUMTHIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0083573",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "U7402",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD61417991",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "318516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073761789",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073761789",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.