Individual provider Active NPI

Philip T Regala, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Naples, FL
National Provider Identifier
1144290206
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
ME63476 Issued in FL
Practice address
1350 Tamiami TRL N
Ste 203
Naples, FL 34102-5203
Phone
(239) 325-1131
Fax
(239) 262-5980
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME63476 FL Primary

Addresses

Primary practice location

1350 Tamiami TRL N
Ste 203
Naples, FL 34102-5203

Mailing address

1350 Tamiami TRL N
Ste 203
Naples, FL 34102-5203
Phone (239) 325-1131

Other identifiers 2

IdentifierTypeStateIssuer
32870OtherFLBLUE CROSS
251729900MedicaidFL

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
I20100714000580 FL Practitioner - Orthopedic Surgery 0941261184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Wisconsin, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Philip Regala MD PLGroup PAC ID 4587625728, 4 clinicians

Practice addresses (Care Compare)

1350 Tamiami TRL N
Suite 203
Naples, FL 34102-5209
Phone (239) 325-1131

Hospital & facility affiliations

  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)16
Upper limb (arm) arthroscopy (minimally invasive joint repair)63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME63476FLMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Orthopedics CurrentSince Oct 1, 2002 Accepting new patients

Locations

1350 Tamiami Trl N
Ste 203
Naples, FL 34102
Phone (239) 262-0020

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IACDAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IACDAA/Endpoint/IACDAA

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.

Hospital & facility affiliations 5

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1144290206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 TAMIAMI TRL N",
            "address_2": "STE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025203",
            "telephone_number": "239-325-1131",
            "fax_number": "239-262-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 TAMIAMI TRL N",
            "address_2": "STE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025203",
            "telephone_number": "239-325-1131",
            "fax_number": "239-262-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGALA",
        "first_name": "PHILIP",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME63476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "32870",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251729900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.