Individual provider Active NPI

Mario C Conol Jr., M.D.

  • Anesthesiology Physician
  • Fort Myers, FL
National Provider Identifier
1285677070
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME87158 Issued in FL
Practice address
13022 Milford PL
Fort Myers, FL 33913-8454
Phone
(239) 898-2187
Fax
(239) 309-0642
NPI assigned
Jun 13, 2006
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME87158 FL Primary

Addresses

Primary practice location

13022 Milford PL
Fort Myers, FL 33913-8454

Mailing address

13022 Milford PL
Fort Myers, FL 33913-8454
Phone (239) 898-2187

Other identifiers 1

IdentifierTypeStateIssuer
41728OtherFLBLUE CROSS BLUE SHIELD OF FL

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
I20040913000250 FL Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 5698742401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

Practice addresses (Care Compare)

13022 Milford PL
Fort Myers, FL 33913-8454
Phone (239) 898-2187

1500 Lee Blvd
Lehigh Acres, FL 33936-4835
Phone (239) 369-2101

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Anesthesiology LLC Anesthesiology CurrentSince Oct 11, 2016 Accepting new patients
Baylor College of Medicine Anesthesiology Past Accepting new patients
Consultant Anesthetic Services PA Anesthesiology Past Accepting new patients
Anesthesiology Consultants of the Palm Beaches PA Anesthesiology PastSince Jan 19, 2004 Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1285677070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13022 MILFORD PL",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138454",
            "telephone_number": "239-898-2187",
            "fax_number": "239-309-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13022 MILFORD PL",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138454",
            "telephone_number": "239-898-2187",
            "fax_number": "239-309-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONOL",
        "first_name": "MARIO",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME87158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FL",
            "identifier": "41728",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.