Active NPI
Patrick M Reidy, M.D.
- Otolaryngology Physician
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME92444
- Practice address
- 2180 Immokalee Rd Ste 101
Naples, FL 34110-1422 - Phone
- (239) 514-2225
- Fax
- (239) 514-2280
- NPI assigned
- Jun 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME92444 | FL | Primary |
Addresses
Primary practice location
2180 Immokalee Rd Ste 101
Naples, FL 34110-1422
Mailing address
2180 Immokalee Rd Ste 101
Naples, FL 34110-1422
Phone (239) 514-2225
Other practice location 1
9250 Corkscrew Rd Ste 3
Estero, FL 33928-3216
Phone (239) 514-2225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272799400 | Medicaid | FL | |
| 13299 | Other | FL | BLUE SHIELD PROVIDER # |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Wayne State University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2180 Immokalee Rd
Suite 101
Naples, FL 34110-1422
Phone (239) 514-2225
Hospital & facility affiliations
- Naples Community Hospital
- Lee Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Physician Care LLC | Current | Accepting new patients | |
| Floridagulfcoast Earnoseandthroat LLC | Otolaryngology | Current | Accepting new patients |
| Florida Gulf Coast Hearing Center, LLC | Past | Accepting new patients |
Locations
9250 Corkscrew Rd
Estero, FL 33928
Phone (239) 390-1656
9250 Corkscrew Rd
Ste 3
Estero, FL 33928
Phone (239) 514-2225
9250 Corkscrew Rd
Ste 7
Estero, FL 33928
Phone (239) 498-2528
2180 Immokalee Rd
Ste 101
Naples, FL 34110
Phone (239) 514-2225
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Naples, FL
- NPI 1275605131
-
- Family Medicine Physician
- Estero, FL
- NPI 1124424098
-
- Hearing and Speech Clinic/Center
- Naples, FL
- NPI 1790226934
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550448000000",
"number": "1194752840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 IMMOKALEE RD STE 101",
"city": "NAPLES",
"state": "FL",
"postal_code": "341101422",
"telephone_number": "239-514-2225",
"fax_number": "239-514-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 IMMOKALEE RD STE 101",
"city": "NAPLES",
"state": "FL",
"postal_code": "341101422",
"telephone_number": "239-514-2225",
"fax_number": "239-514-2280"
}
],
"practiceLocations": [
{
"address_1": "9250 Corkscrew Rd Ste 3",
"address_purpose": "LOCATION",
"city": "Estero",
"state": "FL",
"postal_code": "339283216",
"country_code": "US",
"telephone_number": "239-514-2225",
"fax_number": "239-514-2280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REIDY",
"first_name": "PATRICK",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME92444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272799400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER #",
"identifier": "13299",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.