Individual provider Active NPI

Daniel Stanciu, M.D.

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1144644642
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME124403 Issued in FL
Practice address
2776 Cleveland Ave
Fort Myers, FL 33901-5855
Phone
(239) 424-1449
Fax
(239) 424-1421
NPI assigned
Feb 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 124403 FL
Hospitalist Physician 208M00000X ME124403 FL
Internal Medicine Physician 207R00000X ME124403 FL Primary

Addresses

Primary practice location

2776 Cleveland Ave
Fort Myers, FL 33901-5855

Mailing address

4755 Summerlin Rd Ste 8
Fort Myers, FL 33919-1073
Phone (238) 208-6648

Other identifiers 1

IdentifierTypeStateIssuer
015773500MedicaidFL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151119000534 FL Practitioner - HospitalistPractitioner - Internal Medicine 6507166782 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axel Health LLCGroup PAC ID 2062737885, 11 clinicians

Practice addresses (Care Compare)

3050 Champion Ring Rd
Fort Myers, FL 33905-5599
Phone (239) 208-6648

3501 Hancock Bridge Pkwy
Fort Myers, FL 33903-7126
Phone (239) 208-6648

Hospital & facility affiliations

  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
124403FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Health System Inc Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Axel Health LLC Internal Medicine CurrentSince Aug 30, 2020 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Axel Health Primary Care LLC Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

14192 Metropolis Ave
Fort Myers, FL 33912
Phone (239) 244-9560

4755 Summerlin Rd
Ste 8
Fort Myers, FL 33919
Phone (239) 275-5339

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

Organizations & group practices 4

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 1

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": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1144644642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 SUMMERLIN RD STE 8",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339191073",
            "telephone_number": "238-208-6648",
            "fax_number": "239-931-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 CLEVELAND AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015855",
            "telephone_number": "239-424-1449",
            "fax_number": "239-424-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCIU",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-05",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "124403",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME124403",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME124403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015773500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.