Organization Active NPI

Telespecialists North Carolina Neurology Services PLLC

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1245926138
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
TELESPECIALISTS NORTH CAROLINA NEUROLOGY SERVICES PLLC
Practice address
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
NPI assigned
Apr 13, 2023
Last updated
Apr 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Mohammed Zaman, DONPI 1215126032
Title
Owner
Phone
(239) 208-2212

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206

Mailing address

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MI, NJ, PA, MD, DE, LA, TX, CO, GA, NY, TN, PR, VA, NV, UT, CA, AZ, WA, MO, SC, OR, WI, FL, KY, OH, IL, MA, AR, CT, IN, ID32 enrollments

Enrollment records 32

Enrollment IDStateProvider typePAC IDDetails
O20230803002841 NC Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 10 practitioners
Practice locations: Marvin, NC; Winston Salem, NC; Raleigh, NC; Mills River, NC; Holly Springs, NC; Durham, NC; Davidson, NC; Concord, NC…
O20240802001946 MI Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 1 practitioner
Practice locations: Petoskey, MI
O20240806000032 NJ Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 3 practitioners
Practice locations: Cranbury, NJ; Freehold, NJ; Paramus, NJ
O20240806000371 PA Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 3 practitioners
Practice locations: Latrobe, PA; Wexford, PA; East Earl, PA
O20240806000574 MD Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 4 practitioners
Practice locations: Baltimore, MD; Woodbine, MD; Ellicott City, MD; Cockeysville, MD
O20240806000744 DE Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 1 practitioner
Practice locations: Dover, DE
O20240806002667 LA Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 2 practitioners
Practice locations: New Orleans, LA; Slidell, LA
O20240806003176 TX Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 8 practitioners
Practice locations: Cypress, TX; Irving, TX; San Antonio, TX; Sugar Land, TX; Webster, TX; Abilene, TX
O20240806003854 CO Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 5 practitioners
Practice locations: Denver, CO; Golden, CO; Crested Butte, CO; Colorado Springs, CO
O20240807003993 GA Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 4 practitioners
Practice locations: Bowman, GA; Kennesaw, GA; Marietta, GA; Watkinsville, GA; Atlanta, GA
O20240808000154 NY Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 11 practitioners
Practice locations: West Seneca, NY; Somers, NY; Rochester, NY; Olean, NY; Northport, NY; Jamaica, NY; Halfmoon, NY; East Meadow, NY…
O20240808003219 TN Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 4 practitioners
Practice locations: Brentwood, TN; Franklin, TN
O20240809001754 PR Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 2 practitioners
Practice locations: Guaynabo, PR; San Juan, PR
O20240812003485 VA Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 3 practitioners
Practice locations: Crozet, VA; Winchester, VA; Charlottesville, VA
O20240814001293 NV Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV; Reno, NV
O20240814001581 UT Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 1 practitioner
Practice locations: Murray, UT
O20240816003516 CA Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 14 practitioners
Practice locations: San Luis Obispo, CA; Yorba Linda, CA; San Diego, CA; Rancho Palos Verdes, CA; Newport Beach, CA; Monterey, CA; Los Angeles, CA; Livermore, CA…
O20240816003565 AZ Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 5 practitioners
Practice locations: Flagstaff, AZ; Gilbert, AZ; Phoenix, AZ; Scottsdale, AZ; Tucson, AZ
O20240829000518 WA Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 3 practitioners
Practice locations: Seattle, WA; Olympia, WA; Bellevue, WA; Kirkland, WA
O20240830003125 MO Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Louis, MO
O20240904000062 SC Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, SC
O20240904004772 OR Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 3 practitioners
Practice locations: Corvallis, OR; Portland, OR
O20240912001273 WI Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 2 practitioners
Practice locations: Mequon, WI; Whitefish Bay, WI
O20240912004006 FL Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 12 practitioners
Practice locations: Saint Johns, FL; Weston, FL; Wesley Chapel, FL; Vero Beach, FL; Tampa, FL; Stuart, FL; North Fort Myers, FL; Melbourne, FL…
O20240923000635 KY Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 2 practitioners
Practice locations: Lexington, KY
O20240926002220 OH Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 4 practitioners
Practice locations: Cleveland, OH; Columbus, OH; Dayton, OH; Mason, OH
O20241113002788 IL Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 4 practitioners
Practice locations: Chicago, IL; Lemont, IL
O20241218003876 MA Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 1 practitioner
Practice locations: Somerville, MA; Wellesley, MA
O20250919003670 AR Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR
O20251029002299 CT Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 1 practitioner
Practice locations: Cromwell, CT
O20251117002997 IN Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 1 practitioner
Practice locations: Carmel, IN
O20260226000055 ID Part B Supplier - Clinic/Group Practice 7719348978 Receives reassigned benefits from 1 practitioner
Practice locations: Idaho Falls, ID

National Provider Directory

National Provider Directory

Locations

11215 Metro Pkwy
#100
Fort Myers, FL 33966

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

Practitioners & affiliated clinicians

Practitioners 128

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.

View all 128

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1245926138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELESPECIALISTS NORTH CAROLINA NEUROLOGY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "ZAMAN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-208-2212",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 13, 2023; 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.