James J. O'Mailia, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME53585 Issued in FL

Practice address

1553 Matthew Dr
Fort Myers, FL 33907-1734

Phone

(239) 275-3695

Fax

(239) 275-5402

NPI assigned

Jul 7, 2005

Reactivated

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• The Christian & Missionary Alliance Foundation Inc

  • General Practice Physician
  • Fort Myers, FL
  • NPI 1821160607

  FL

  Medicare reassignment NPD
• James J. O'Mailia, MD, PA

  • Gastroenterology Physician
  • Fort Myers, FL
  • NPI 1730151614

  Gastroenterology

  NPD Authorized official
• The Christian & Missionary Alliance Foundation Inc

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1932766953
  NPD

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1275530099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 SHELL POINT BLVD STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081657",
            "telephone_number": "239-542-1464",
            "fax_number": "239-454-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 MATTHEW DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071734",
            "telephone_number": "239-275-3695",
            "fax_number": "239-275-5402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13880 Shell Point Plz Ste 110",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083504",
            "country_code": "US",
            "telephone_number": "239-454-2146",
            "fax_number": "239-454-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13880 Shell Point Plz Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083504",
            "country_code": "US",
            "telephone_number": "239-454-2146",
            "fax_number": "239-454-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'MAILIA",
        "first_name": "JAMES",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2007-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME53585",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME53585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48751100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel P O'Hair, M.D.
• Margaret Patricia O'Halloran, CRNA
• Carey O'Hara
• Brooke Claire O'Laughlin
• Sarah Jane O'Leary, PT DPT
• Ellen O'Malley, LMHC
• Molly Jeanne O'Meara, RBT
• Stephanie Lynn O'Neal, AU.D
• Laura P. O'Sullivan, PH. D., BCBA-D
• Josie O'Toole, NP

• All providers in Fort Myers, FL
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.