Individual provider Active NPI

John Atiyeh, MD

  • Emergency Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1275029035
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME148062 Issued in FL
Practice address
2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone
(941) 766-4125
Fax
(941) 766-4101
NPI assigned
Jul 5, 2018
Last updated
May 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME148062 FL Primary

Addresses

Primary practice location

2500 Harbor Blvd
Port Charlotte, FL 33952-5000

Mailing address

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4125

Other practice location 1

2521 Del Prado Blvd N
Cape Coral, FL 33909-4003
Phone (239) 242-1357

Other practice location 2

1414 Kuhl Ave # Mp31
Orlando, FL 32806-2008
Phone (407) 841-5133

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210608001198 FL Practitioner - Emergency Medicine 9537569827 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME148062FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Emergency Medical Physicians PA Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Ies Florida PLLC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Mar 8, 2025 Accepting new patients
Lee Memorial Health System CurrentSince Sep 14, 2023 Accepting new patients
Port Charlotte HBP Services LLC Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Cape Coral Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Lee Health System Inc CurrentSince Jan 19, 2025 Accepting new patients
Lee Health System Inc CurrentSince Jan 19, 2025 Accepting new patients
Lee Memorial Health System CurrentSince Sep 14, 2023 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

2521 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 242-1357

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Freedom Health HMO Network

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1275029035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525000",
            "telephone_number": "941-766-4125",
            "fax_number": "941-766-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525000",
            "telephone_number": "941-766-4125",
            "fax_number": "941-766-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2521 Del Prado Blvd N",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339094003",
            "country_code": "US",
            "telephone_number": "239-242-1357",
            "fax_number": "239-540-8980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 Kuhl Ave # Mp31",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062008",
            "country_code": "US",
            "telephone_number": "407-841-5133",
            "fax_number": "407-237-6313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATIYEH",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME148062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.