Active NPI
Adam Fueredi, M.D.
- Diagnostic Radiology Physician
- Fort Myers, FL
National Provider Identifier
1124078241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME34062
- Practice address
- 3660 Broadway
Fort Myers, FL 33901-8005 - Phone
- (239) 936-2316
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME34062 | FL | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X | ME34062 | FL |
Addresses
Primary practice location
3660 Broadway
Fort Myers, FL 33901-8005
Mailing address
3660 Broadway
Fort Myers, FL 33901-8005
Phone (239) 936-2316
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300051030 | Other | FL | RAILROAD MEDICARE |
| 11114 | Other | FL | BLUE CROSS FLORIDA |
| 065013700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Health Centers PA | Diagnostic Radiology | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1124078241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 BROADWAY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339018005",
"telephone_number": "239-936-2316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 BROADWAY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339018005",
"telephone_number": "239-936-2316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUEREDI",
"first_name": "ADAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME34062",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "FL",
"license": "ME34062",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300051030",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS FLORIDA",
"identifier": "11114",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "065013700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.