Individual provider Active NPI

Evelia F Iglesias, MD

  • Psychiatry Physician
  • Naples, FL
National Provider Identifier
1083849384
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME115442 Issued in FL
Practice address
5038 Coronado Pkwy
Naples, FL 34116-6950
Phone
(239) 234-6835
Fax
(239) 331-2362
NPI assigned
May 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X ME115442 FL Primary

Addresses

Primary practice location

5038 Coronado Pkwy
Naples, FL 34116-6950

Mailing address

5038 Coronado Pkwy
Naples, FL 34116-6950
Phone (239) 234-6835

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
I20131226001077 FL Practitioner - Psychiatry 0547496499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angel's Medical CompanyGroup PAC ID 6103074877, 4 clinicians

Practice addresses (Care Compare)

5240 Golden Gate Pkwy
Naples, FL 34116-7670
Phone (239) 234-6835

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Angel's Medical Company CurrentSince Jul 1, 2014 Accepting new patients

Locations

5038 Coronado Pkwy
Naples, FL 34116
Phone (239) 234-6835

5240 Golden Gate Pkwy
Naples, FL 34116
Phone (239) 234-6835

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1083849384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5038 CORONADO PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166950",
            "telephone_number": "239-234-6835",
            "fax_number": "239-234-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5038 CORONADO PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166950",
            "telephone_number": "239-234-6835",
            "fax_number": "239-331-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "EVELIA",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME115442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.