Individual provider Active NPI

Gerardo David Resto Santos

  • Nephrology Physician
  • Fort Myers, FL
National Provider Identifier
1205497336
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME191761 Issued in FL
Practice address
6150 Diamond Centre CT Unit 1301
Fort Myers, FL 33912-4366
Phone
(727) 888-9289
Fax
(727) 306-8052
NPI assigned
Jun 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME191761 FL Primary

Addresses

Primary practice location

6150 Diamond Centre CT Unit 1301
Fort Myers, FL 33912-4366

Mailing address

7421 Ridge Rd Ste 105
Port Richey, FL 34668-6935
Phone (727) 888-9289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
San Juan Bautista School of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7421 Ridge Rd
Suite 105
Port Richey, FL 34668-6933

7421 Ridge Rd
Suite 105
Port Richey, FL 34668-6935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ME191761FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Kidney Partners, LLP Nephrology CurrentSince Jun 12, 2026 Accepting new patients

Locations

6150 Diamond Centre Ct
Unit 1301
Fort Myers, FL 33912
Phone (239) 344-9786

3227 Lee Blvd
Unit 5
Lehigh Acres, FL 33971
Phone (239) 236-2013

7421 Ridge Rd
Ste 105
Port Richey, FL 34668
Phone (310) 940-4171

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.

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1205497336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 RIDGE RD STE 105",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686935",
            "telephone_number": "727-888-9289",
            "fax_number": "727-306-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 DIAMOND CENTRE CT UNIT 1301",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124366",
            "telephone_number": "727-888-9289",
            "fax_number": "727-306-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTO SANTOS",
        "first_name": "GERARDO",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME191761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.