Individual provider Active NPI

James Joseph Faremouth Jr., DO

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1124056015
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS9581 Issued in FL
Practice address
8360 Sierra Meadows Blvd
Naples, FL 34113-7328
Phone
(239) 624-8300
Fax
(239) 430-7805
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS9581 FL Primary

Addresses

Primary practice location

8360 Sierra Meadows Blvd
Naples, FL 34113-7328

Mailing address

8360 Sierra Meadows Blvd
Naples, FL 34113-7328
Phone (239) 624-8300

Other identifiers 3

IdentifierTypeStateIssuer
09467OtherFLFL BC
AH972XOtherFLMEDICARE
280274100MedicaidFL

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
I20080304000671 FL Practitioner - Family Practice 6002717907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12250 Tamiami TRL E
Suite 202
Naples, FL 34113-8421
Phone (239) 692-8934

5077 Tamiami Trail E
Naples, FL 34113-4111

5175 Tamiami Trail E
Naples, FL 34113-4100
Phone (239) 775-5050

Hospital & facility affiliations

  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Premier Place at the Glenview Nursing home, Naples, FL, CCN 105856
  • Solaris Healthcare Lely Palms Nursing home, Naples, FL, CCN 105499

National Provider Directory

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

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Dr J S House Calls LLC Family Medicine CurrentSince Jan 15, 2018 Accepting new patients
Anchor Health Centers PA Family Medicine Past Accepting new patients
Macomb Family Care PC Past Accepting new patients

Locations

5077 Tamiami Trl E
Naples, FL 34113
Phone (239) 732-1133

12250 Tamiami Trl E
Ste 202
Naples, FL 34113
Phone (239) 692-8934

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

Hospital & facility affiliations 4

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124056015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8360 SIERRA MEADOWS BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137328",
            "telephone_number": "239-624-8300",
            "fax_number": "239-430-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8360 SIERRA MEADOWS BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137328",
            "telephone_number": "239-624-8300",
            "fax_number": "239-430-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAREMOUTH",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BC",
            "identifier": "09467",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AH972X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280274100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.