Organization Active NPI

Dr Alphonse R Tribuiani PA

  • Foot & Ankle Surgery Podiatrist
  • Estero, FL
National Provider Identifier
1245429703
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2858 Issued in FL
Legal business name
DR ALPHONSE R TRIBUIANI PA
Practice address
9250 Corkscrew Rd Ste 7
Estero, FL 33928-3216
Phone
(239) 959-2121
Fax
(239) 597-5388
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Alphonse R Tribuiani, DPMNPI 1740264761
Title
Owner
Phone
(239) 949-2121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO2858 FL Primary

Addresses

Primary practice location

9250 Corkscrew Rd Ste 7
Estero, FL 33928-3216

Mailing address

9250 Corkscrew Rd Ste 7
Estero, FL 33928-3216
Phone (239) 949-2121

Other identifiers 1

IdentifierTypeStateIssuer
480030357OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930070638 FL DME Supplier - Physician - Podiatry 3072624949 Practice locations: Estero, FL
O20101022001238 FL Part B Supplier - Clinic/Group Practice 3072624949 Receives reassigned benefits from 2 practitioners
Practice locations: Estero, FL; Naples, FL

National Provider Directory

National Provider Directory

Locations

2700 Immokalee Rd
Ste 25
Naples, FL 34110
Phone (239) 596-0880

13240 N Cleveland Ave
Ste 3
North Ft Myers, FL 33903
Phone (239) 997-1000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1245429703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 CORKSCREW RD STE 7",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283216",
            "telephone_number": "239-949-2121",
            "fax_number": "239-597-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 CORKSCREW RD STE 7",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283216",
            "telephone_number": "239-959-2121",
            "fax_number": "239-597-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALPHONSE R TRIBUIANI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "TRIBUIANI",
        "authorized_official_first_name": "ALPHONSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-949-2121",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480030357",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.