Individual provider Active NPI

Dolores Yamila Delgado, MD

  • Internal Medicine Physician
  • Lehigh Acres, FL
National Provider Identifier
1275521619
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 100544 Issued in FL
Practice address
2814 Lee Blvd
Suite 15
Lehigh Acres, FL 33971-1567
Phone
(239) 303-7726
Fax
(239) 491-0719
NPI assigned
Oct 10, 2005
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 100544 FL Primary

Addresses

Primary practice location

2814 Lee Blvd
Suite 15
Lehigh Acres, FL 33971-1567

Mailing address

2814 Lee Blvd Ste 15
Lehigh Acres, FL 33971-1561
Phone (239) 410-2887

Other identifiers 1

IdentifierTypeStateIssuer
1275521619MedicaidFL

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
I20080804000612 FL Practitioner - Internal Medicine 5799859047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panamerican Internal Medicine IncGroup PAC ID 5597839845, 2 clinicians

Practice addresses (Care Compare)

2814 Lee Blvd
Suite 15
Lehigh Acres, FL 33971-1561
Phone (239) 410-2887

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 100544FLMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: ddelgado@pimi-fl.direct.office.nextgen.com

Organizations & group practices 1

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1275521619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 LEE BLVD STE 15",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711561",
            "telephone_number": "239-410-2887",
            "fax_number": "239-491-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 LEE BLVD",
            "address_2": "SUITE 15",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711567",
            "telephone_number": "239-303-7726",
            "fax_number": "239-491-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "DOLORES",
        "middle_name": "YAMILA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 100544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275521619",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.