Individual provider Active NPI

Claude Degraff, M.D.

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1235109422
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME72922 Issued in FL
Practice address
15051 Shell Point Blvd
Fort Myers, FL 33908-1639
Phone
(239) 454-2230
Fax
(239) 454-2111
NPI assigned
Jan 23, 2006
Last updated
Apr 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME72922 FL Primary

Addresses

Primary practice location

15051 Shell Point Blvd
Fort Myers, FL 33908-1639

Mailing address

15000 Shell Point Blvd
Suite 100
Fort Myers, FL 33908-1657
Phone (239) 454-2146

Other identifiers 2

IdentifierTypeStateIssuer
087535000MedicaidFL
253279400MedicaidFL

Medicare participation

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Hospice and Community Services, Inc Family Medicine PastSince Jan 1, 1990 Accepting new patients
Hope Hospice and Community Services Inc PastSince Jan 1, 1990 Accepting new patients
Pathways of Hope PastSince Jan 1, 1990 Accepting new patients
Hope Life Care PastSince Jan 1, 1990 Accepting new patients
Naples Urgent Care PL PastSince Jul 19, 2016 Accepting new patients
Hope Select Care PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 6

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1235109422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 SHELL POINT BLVD",
            "address_2": "SUITE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081657",
            "telephone_number": "239-454-2146",
            "fax_number": "239-454-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15051 SHELL POINT BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081639",
            "telephone_number": "239-454-2230",
            "fax_number": "239-454-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAFF",
        "first_name": "CLAUDE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME72922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087535000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253279400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.