NPIMap

Organization Active NPI

Naples Pediatrics Inc.

  • Pediatrics Physician
  • Naples, FL
National Provider Identifier
1225036213
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0065935 Issued in FL
Legal business name
NAPLES PEDIATRICS INC.
Practice address
5400 Park Central CT
Naples, FL 34109-5923
Phone
(239) 593-7000
Fax
(239) 593-7008
NPI assigned
Jul 13, 2005
Last updated
Jul 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Dr. Paul Robert Irra, M.D.NPI 1699779173
Title
Owner
Phone
(239) 593-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME0065935 FL Primary

Addresses

Primary practice location

5400 Park Central CT
Naples, FL 34109-5923

Mailing address

5400 Park Central CT
Suite 2
Naples, FL 34109-6001
Phone (239) 593-7000

Other identifiers 2

IdentifierTypeStateIssuer
254365600MedicaidFL
34401OtherFLBLUE CROSS GRP ID

National Provider Directory

National Provider Directory

Locations

5400 Park Central Ct
Naples, FL 34109
Phone (239) 593-7000

5400 Park Central Ct
Ste 2
Naples, FL 34109
Phone (239) 593-7000

5400 Park Central Ct
Ste 3
Naples, FL 34109

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1225036213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 PARK CENTRAL CT",
            "address_2": "SUITE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341096001",
            "telephone_number": "239-593-7000",
            "fax_number": "239-593-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 PARK CENTRAL CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341095923",
            "telephone_number": "239-593-7000",
            "fax_number": "239-593-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES PEDIATRICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "IRRA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-593-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0065935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254365600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GRP ID",
            "identifier": "34401",
            "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 Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.