Individual provider Active NPI

David Alexander Phillips, DO

  • General Practice Physician
  • Cape Coral, FL
National Provider Identifier
1194165688
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS14976 Issued in FL
Practice address
822 Del Prado Blvd S Ste 120
Cape Coral, FL 33990-2687
Phone
(239) 308-1006
Fax
(239) 308-1007
NPI assigned
Jun 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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 OS14976 FL
General Practice Physician 208D00000X OS14976 FL Primary

Addresses

Primary practice location

822 Del Prado Blvd S Ste 120
Cape Coral, FL 33990-2687

Mailing address

2637 E Atlantic Blvd # 1385
Pompano Beach, FL 33062-4939
Phone (239) 308-1006

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
I20220711000290 FL Practitioner - General Practice 2264721661 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Associates LLC CurrentSince Jan 29, 2024 Accepting new patients
Element Medical of Cape Coral LLC General Practice CurrentSince Jul 15, 2025 Accepting new patients
Lina L Feaster PA PastSince Jan 2, 2004 Accepting new patients

Locations

822 Del Prado Blvd S
Ste 120
Cape Coral, FL 33990
Phone (239) 308-1006

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

2637 E Atlantic Blvd
Pompano Beach, FL 33062
Phone (724) 299-1220

3941 Tamiami Trl
Unit 3175
Punta Gorda, FL 33950
Phone (941) 295-6800

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1194165688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 E ATLANTIC BLVD # 1385",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624939",
            "telephone_number": "239-308-1006",
            "fax_number": "239-308-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 DEL PRADO BLVD S STE 120",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902687",
            "telephone_number": "239-308-1006",
            "fax_number": "239-308-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DAVID",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14976",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS14976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.