Individual provider Active NPI

Tankut Onal, MD

  • Pediatric Cardiology Physician
  • Fort Myers, FL
National Provider Identifier
1285710855
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
ME90733 Issued in FL
Practice address
16281 Bass Rd Ste 304
Fort Myers, FL 33908-9687
Phone
(239) 343-7490
Fax
(239) 343-4197
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X ME90733 FL Primary

Addresses

Primary practice location

16281 Bass Rd Ste 304
Fort Myers, FL 33908-9687

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-7490

Other identifiers 2

IdentifierTypeStateIssuer
003566600MedicaidFL
036118572MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tonal280504@Direct.leememorial.org Direct Lee Memorial Health System

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
I20131126000115 FL Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 2769555044 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians
Florida Radiology Leasing LLCGroup PAC ID 1759327356, 39 clinicians

Practice addresses (Care Compare)

1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900

16281 Bass Rd
Fort Myers, FL 33908-9687

3361 Pine Ridge Rd
Suite 201
Naples, FL 34109-3938
Phone (239) 343-9722

6311 S Pointe Blvd
Suite 600
Fort Myers, FL 33919-4901
Phone (239) 938-3500

9981 S Healthpark Dr
Fort Myers, FL 33908-3618

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Jan 1, 2022 Accepting new patients
Lee Memorial Health System CurrentSince Jan 1, 2022 Accepting new patients
Florida Radiology Leasing LLC CurrentSince Oct 8, 2022 Accepting new patients
Kidz Medical Services, Inc CurrentSince Sep 11, 2013 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Kidz Medical Services, Inc Pediatric Cardiology CurrentSince Sep 11, 2013 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 318
Boca Raton, FL 33428
Phone (561) 451-0500

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

5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 662-8668

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

16281 Bass Rd
Ste 304
Fort Myers, FL 33908
Phone (239) 343-7490

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

6311 S Pointe Blvd
Ste 600
Fort Myers, FL 33919
Phone (239) 343-9150

975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

2600 Immokalee Rd
Naples, FL 34110
Phone (239) 213-0690

Interoperability endpoints

  • Direct secure messaging: tankutonal@kms.allscriptsdirect.net
  • Direct secure messaging: tonal280504@direct.leememorial.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1285710855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-7490",
            "fax_number": "239-343-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16281 BASS RD STE 304",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089687",
            "telephone_number": "239-343-7490",
            "fax_number": "239-343-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONAL",
        "first_name": "TANKUT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "ME90733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003566600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036118572",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tonal280504@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "Lee Memorial Health System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.