Telespecialists North Carolina Neurology Services PLLC
Organization Active NPI Neurology Physician · Fort Myers, FL
NPI 1245926138 · NPPES record last updated Apr 13, 2023
Key facts
- NPI
- 1245926138
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 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
- Organization subpart
- No
Authorized official
- Name
- Mohammed Zaman, DO
- Title
- Owner
- Phone
- (239) 208-2212
Practitioners 128
-
Keerthana Akkineni, M.D.
-
Georgy Cherkassky, M.D.
-
Justin De'Prey, MD
-
Neetu Dhadwal, M.D.
-
Robert A Fishman, MD
-
Douglas Matthew Franz, M.D.
-
Steven James Gangloff, M.D.
-
Adam Mitchell Koss, M.D.
-
Richard Paul Newman, M.D.
-
Birenkumar Patel, M.D.
-
Arun B Pillai, MD
-
Vikas Ravi, MD
-
Cintasha T'Rena Redmond, M.D.
-
Colby Allen Richardson, M.D.
-
Chut Sombutmai, DO
-
Jason P Stabley, D.O.
-
Arvind Vasudevan, M.D.
-
Yelena Vidgop, MD
-
Erica Rene Wilt, M.D.
-
Ava Giugliano, D.O.
-
Siddharth Kaul, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (32 enrollments) 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, ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
11215 Metro Pkwy
#100
Fort Myers, FL 33966
11215 Metro Pkwy
Fort Myers, FL 33966
Phone (239) 346-3700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | Yes |
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
Other providers in Fort Myers, FL
- Tinerfe J Tejera
- Piotr Tomasz Tekiela
- Belin Tekin
- Tele-Id Inc
- Telehealth Visits
- Andison Telisnor
- Ryan Telson
- Danoushka Loris Tememe
- Tempco Pest Control, Inc.
- Elizabeth H Templeton
All providers in Fort Myers, FL · Neurology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.