Individual provider Active NPI

Oscar Alejandro Alea, MD

  • Pediatric Pulmonology Physician
  • Fort Myers, FL
National Provider Identifier
1255397295
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
ME0066693 Issued in FL
Practice address
12748 University Dr
Fort Myers, FL 33907-5634
Phone
(239) 437-5500
Fax
(239) 437-5507
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X ME0066693 FL Primary

Addresses

Primary practice location

12748 University Dr
Fort Myers, FL 33907-5634

Mailing address

12748 University Dr
Fort Myers, FL 33907-5634
Phone (239) 437-5500

Other identifiers 1

IdentifierTypeStateIssuer
376724800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oscaralea@csppfl.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0066693FLMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Specialist Pediatric Pulmonology of Florida LLC CurrentSince Apr 23, 2023 Accepting new patients
Monica O Woodward MD PA PastSince Oct 20, 2015 Accepting new patients

Locations

12748 University Dr
Fort Myers, FL 33907
Phone (239) 437-5500

12748 University Dr
#200
Fort Myers, FL 33907

3361 Pine Ridge Rd
Naples, FL 34109
Phone (239) 254-4260

3361 Pine Ridge Rd
Ste 201
Naples, FL 34109
Phone (239) 254-4270

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1255397295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12748 UNIVERSITY DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075634",
            "telephone_number": "239-437-5500",
            "fax_number": "239-437-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12748 UNIVERSITY DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075634",
            "telephone_number": "239-437-5500",
            "fax_number": "239-437-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEA",
        "first_name": "OSCAR",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "FL",
            "license": "ME0066693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376724800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oscaralea@csppfl.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "12748 University Dr",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339075634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.