Individual provider Active NPI

Jesus N Garcia, D.P.M

  • Podiatrist
  • Lehigh Acres, FL
National Provider Identifier
1245785690
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4020 Issued in FL
Practice address
3415 Lee Blvd
Lehigh Acres, FL 33971-1576
Phone
(397) 387-3242
Fax
(239) 369-6419
NPI assigned
Aug 15, 2016
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO4020 FL Primary

Addresses

Primary practice location

3415 Lee Blvd
Lehigh Acres, FL 33971-1576

Mailing address

PO Box 919771
Orlando, FL 32891-1357
Phone (239) 278-3600

Other practice location 1

316 Del Prado Blvd S
Cape Coral, FL 33990-1710
Phone (239) 314-1616

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190607000871 FL Practitioner - Podiatry 9436482304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

316 Del Prado Blvd S
Cape Coral, FL 33990-1710
Phone (844) 342-7935

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue117
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4020FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of Southwest Florida Inc CurrentSince Jun 7, 2025 Accepting new patients

Locations

3415 Lee Blvd
Lehigh Acres, FL 33971
Phone (239) 344-2385

3415 Lee Blvd
Fl 2
Lehigh Acres, FL 33971
Phone (239) 344-2385

3415 Lee Blvd
Fl 3
Lehigh Acres, FL 33971
Phone (239) 343-9935

3415 Lee Blvd
Ste 2
Lehigh Acres, FL 33971

Organizations & group practices 2

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": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1245785690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919771",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328911357",
            "telephone_number": "239-278-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 LEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711576",
            "telephone_number": "397-387-3242",
            "fax_number": "239-369-6419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Del Prado Blvd S",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339901710",
            "country_code": "US",
            "telephone_number": "239-314-1616",
            "fax_number": "239-772-1613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JESUS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-15",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.