Alan Victor Obregon, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME95446 Issued in FL

Practice address

13813 Metro Pkwy
Fort Myers, FL 33912-4343

Phone

(239) 938-1717

Fax

(239) 985-9634

NPI assigned

Jul 24, 2006

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 4

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Preventive Medicine

Education

Eastern Virginia Medical School, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: alan.obregon.1@4290.direct.athenahealth.com

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.

• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880
  Medicare reassignment Care Compare group NPD
• Coastal Care Health System, Inc.

  • Urgent Care Clinic/Center
  • Fort Myers, FL
  • NPI 1851950661

  Family Medicine

  Medicare reassignment NPD
• Integrated Emergency Medicine Specialists LLC

  • Emergency Medicine Physician
  • Naples, FL
  • NPI 1174991632
  Medicare reassignment NPD
• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560
  Medicare reassignment NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD
• Emergency Physicians of Naples PLLC

  • Emergency Medicine Physician
  • Naples, FL
  • NPI 1861410656
  NPD (past)
• Epn Family Care LLC

  • Family Medicine Physician
  • Naples, FL
  • NPI 1013101112
  NPD (past)
• Oceanwind ER SVCS Partnership LLC

  • Emergency Medicine Physician
  • Punta Gorda, FL
  • NPI 1255389656
  NPD (past)
• Southwest Florida Emergency Management LLC

  • Emergency Medicine Physician
  • Naples, FL
  • NPI 1780911206

  Family Medicine

  NPD (past)
• Thse - Marco Urgent Care LLC

  • Internal Medicine Physician
  • Marco Island, FL
  • NPI 1801125331

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1265454920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13813 METRO PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124343",
            "telephone_number": "239-938-1717",
            "fax_number": "239-985-9634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Bonita Beach Rd SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341354679",
            "country_code": "US",
            "telephone_number": "239-498-9294",
            "fax_number": "239-798-7179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3571 Del Prado Blvd N Ste 2",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339095287",
            "country_code": "US",
            "telephone_number": "239-656-6300",
            "fax_number": "239-656-6765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15661 San Carlos Blvd Unit 2",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339082797",
            "country_code": "US",
            "telephone_number": "239-433-4014",
            "fax_number": "239-481-6247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8300 Collier Blvd",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341143549",
            "country_code": "US",
            "telephone_number": "239-354-6190",
            "fax_number": "239-354-6098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1708 Cape Coral Pkwy W Ste 2",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339146985",
            "country_code": "US",
            "telephone_number": "239-333-3333",
            "fax_number": "239-333-3332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10201 Arcos Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "339289460",
            "country_code": "US",
            "telephone_number": "239-333-2273",
            "fax_number": "239-333-2272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBREGON",
        "first_name": "ALAN",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "235653",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME95446",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23229",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08239",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "368AS1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279815800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11513660",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roslyn Oakley
• Oasis Urgent Care, PLLC
• OB Hospitalist Group LLC
• Quratulain Obaid, MD
• Kaylavictoria Obamwonyi
• Van Phan Obregon, CRNA
• David Francis Obrien, CRNA, ARNP
• Rachel Marie Obrien, OD
• Sheridan Obrochta
• Ocala Endoscopy Anesthesia LLC (Ocala Anesthesia)

• Family Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.

Verify at the official NPI Registry.