Individual provider Active NPI

Patrick M Reidy, M.D.

  • Otolaryngology Physician
  • Naples, FL
National Provider Identifier
1194752840
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME92444 Issued in FL
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

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
272799400MedicaidFL
13299OtherFLBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000329 FL Practitioner - Otolaryngology 4385673961 Reassigns benefits to 1 organization

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
Florida Gulf Coast Ear Nose and Throat LLCGroup PAC ID 0042249625, 12 clinicians

Practice addresses (Care Compare)

2180 Immokalee Rd
Suite 101
Naples, FL 34110-1422
Phone (239) 514-2225

Hospital & facility affiliations

  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Physician Care LLC CurrentSince Dec 27, 2014 Accepting new patients
Floridagulfcoast Earnoseandthroat LLC Otolaryngology CurrentSince Jul 1, 2005 Accepting new patients
Florida Gulf Coast Hearing Center, LLC PastSince Jul 1, 2005 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.