Active NPI
Jesus N Garcia, D.P.M
- Podiatrist
- Lehigh Acres, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO4020
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 117 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO4020 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of Southwest Florida Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Fort Myers, FL
- NPI 1326090390
-
- Federally Qualified Health Center (FQHC)
- Fort Myers, FL
- NPI 1669634903
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.