Active NPI
North Naples Internal Medicine LLC
- Primary Care Clinic/Center
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- NORTH NAPLES INTERNAL MEDICINE LLC
- Practice address
- 10621 Airport Pulling Rd N
Suite 1
Naples, FL 34109-1599 - Phone
- (239) 330-9999
- Fax
- (239) 330-1473
- NPI assigned
- Oct 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael S Shahla, MD
- Title
- Manager/Owner
- Phone
- (239) 287-7640
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
10621 Airport Pulling Rd N
Suite 1
Naples, FL 34109-1599
Mailing address
10621 Airport Pulling Rd N
Suite 1
Naples, FL 34109-1599
Phone (239) 330-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2068117 | North Naples Internal Medicine LLC | Certificate of waiver | Oct 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
10621 Airport Rd N
Ste 1
Naples, FL 34109
Phone (239) 330-9999
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Naples, FL
- NPI 1548480270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386028800000",
"number": "1255768164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10621 AIRPORT PULLING RD N",
"address_2": "SUITE 1",
"city": "NAPLES",
"state": "FL",
"postal_code": "341091599",
"telephone_number": "239-330-9999",
"fax_number": "239-330-1473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10621 AIRPORT PULLING RD N",
"address_2": "SUITE 1",
"city": "NAPLES",
"state": "FL",
"postal_code": "341091599",
"telephone_number": "239-330-9999",
"fax_number": "239-330-1473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH NAPLES INTERNAL MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-09",
"last_updated": "2013-12-03",
"status": "A",
"authorized_official_last_name": "SHAHLA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MANAGER/OWNER",
"authorized_official_telephone_number": "239-287-7640",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
- Andrew M Norris, MD
- North Collier Fire Control and Rescue District
- North Naples Anesthesia, LLC
- North Naples Dialysis LLC
- North Naples Family Care Inc
- North Naples Pediatric Center
- North Naples Physical Therapy Inc
- North Naples Surgery Center LLC
- North Naples Therapy & Enrichment Services, P.a.
- North Trail Chiropractic Clinic Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.