Individual provider Active NPI

Emiliya S Hill, MD

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1124207931
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RL10244 Issued in ND
Practice address
3822 Broadway
Suites a-C
Fort Myers, FL 33901-8148
Phone
(239) 274-3004
Fax
(239) 274-6007
NPI assigned
Oct 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RL10244 ND Primary
Pain Medicine Physician 208VP0000X ME105043 FL

Addresses

Primary practice location

3822 Broadway
Suites a-C
Fort Myers, FL 33901-8148

Mailing address

3822 Broadway
Suites a-C
Fort Myers, FL 33901-8148
Phone (239) 274-3004

Other identifiers 1

IdentifierTypeStateIssuer
12083MedicaidND

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
I20120621000599 FL Practitioner - Family PracticePractitioner - Pain Management 4880757053 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RL10244NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Hospice and Community Services, Inc Family Medicine CurrentSince Apr 29, 2012 Accepting new patients

Locations

9470 Healthpark Cir
Fort Myers, FL 33908
Phone (239) 433-8073

16131 Roserush Ct
Fort Myers, FL 33908
Phone (239) 343-7300

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": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1124207931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 BROADWAY",
            "address_2": "SUITES A-C",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018148",
            "telephone_number": "239-274-3004",
            "fax_number": "239-274-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 BROADWAY",
            "address_2": "SUITES A-C",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018148",
            "telephone_number": "239-274-3004",
            "fax_number": "239-274-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "EMILIYA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "RL10244",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME105043",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12083",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.