Individual provider Active NPI

Christine D Ayarza, M.D.

  • Infectious Disease Physician
  • Fort Myers, FL
National Provider Identifier
1285800532
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME111017 Issued in FL
Practice address
14192 Metropolis Ave
Fort Myers, FL 33912-4331
Phone
(239) 244-9560
Fax
(239) 244-9481
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME111017 FL Primary

Addresses

Primary practice location

14192 Metropolis Ave
Fort Myers, FL 33912-4331

Mailing address

14192 Metropolis Ave
Fort Myers, FL 33912-4331
Phone (239) 244-9560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130528000571 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 4880832187 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME111017FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Id Care LLC Infectious Disease CurrentSince Aug 1, 2013 Accepting new patients
KND Development 59, LLC CurrentSince Apr 16, 2013 Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59 LLC CurrentSince Apr 16, 2013 Accepting new patients
SK Raman PA Infectious Disease Past Accepting new patients

Locations

14192 Metropolis Ave
Fort Myers, FL 33912
Phone (239) 244-9560

765 W Nasa Blvd
Melbourne, FL 32901
Phone (321) 409-4044

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1285800532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14192 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124331",
            "telephone_number": "239-244-9560",
            "fax_number": "239-244-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14192 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124331",
            "telephone_number": "239-244-9560",
            "fax_number": "239-244-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYARZA",
        "first_name": "CHRISTINE",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME111017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.