Individual provider Active NPI

Jose M Sosa Popoteur, M.D

  • Cardiovascular Disease Physician
  • Fort Myers, FL
National Provider Identifier
1285981332
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME139059 Issued in FL
Practice address
16261 Bass Rd Ste 300
Fort Myers, FL 33908-3671
Phone
(239) 343-6410
Fax
(239) 343-4014
NPI assigned
Aug 8, 2012
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME139059 FL Primary
Cardiovascular Disease Physician 207RC0000X 29351 MS

Addresses

Primary practice location

16261 Bass Rd Ste 300
Fort Myers, FL 33908-3671

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-6410

Other practice location 1

307 Boatner Rd Ste 114
Eglin AFB, FL 32542-1302
Phone (850) 883-8600

Other practice location 2

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone (601) 268-5800

Other practice location 3

708 Del Prado Blvd S Ste 7
Cape Coral, FL 33990-2676
Phone (239) 424-3660

Other identifiers 2

IdentifierTypeStateIssuer
07331505MedicaidMS
112321200MedicaidFL

Other names 1

  • Dr. Jose M Sosa Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsosapopoteur279744@Direct.leememorial.org Direct Lee Memorial Health System

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161011000355 VA Practitioner - Internal Medicine 1254635444 Reassigns benefits to 1 organization
I20211111000596 FL Practitioner - Cardiovascular Disease (Cardiology) 1254635444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

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

13340 Metro Pkwy
Fort Myers, FL 33966-4818

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-2606

16261 Bass Rd
Suite 300
Fort Myers, FL 33908-3671
Phone (239) 343-6410

16281 Bass Rd
Fort Myers, FL 33908-9687

23450 Via Coconut PT
Estero, FL 34135-1877
Phone (239) 468-0120

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 343-2000

414 Cape Coral Pkwy E
Cape Coral, FL 33904-8522

708 Del Prado Blvd S
Cape Coral, FL 33990-2676

8960 Colonial Ctr Dr
Fort Myers, FL 33905-7810

9981 S Healthpark Dr
Fort Myers, FL 33908-3618

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Dec 20, 2016 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Lee Memorial Health System CurrentSince Dec 20, 2021 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Riverside Physician Services, Inc. Internal Medicine CurrentSince Dec 20, 2016 Accepting new patients
Lee Health System Inc Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Lee Memorial Health System Internal Medicine CurrentSince Dec 20, 2021 Accepting new patients

Locations

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

708 Del Prado Blvd S
Ste 7
Cape Coral, FL 33990
Phone (239) 424-3660

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

16261 Bass Rd
Ste 300
Fort Myers, FL 33908
Phone (239) 274-8866

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

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

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

12200 Warwick Blvd
Ste 590B
Newport News, VA 23601
Phone (757) 534-5909

500 J Clyde Morris Blvd
Fl 1
Newport News, VA 23601

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jsosapopoteur279744@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1285981332",
    "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": "239-343-6410",
            "fax_number": "223-934-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16261 BASS RD STE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083671",
            "telephone_number": "239-343-6410",
            "fax_number": "239-343-4014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Boatner Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Eglin AFB",
            "state": "FL",
            "postal_code": "325421302",
            "country_code": "US",
            "telephone_number": "850-883-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 S 28th Ave",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017246",
            "country_code": "US",
            "telephone_number": "601-268-5800",
            "fax_number": "601-261-3530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "708 Del Prado Blvd S Ste 7",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339902676",
            "country_code": "US",
            "telephone_number": "239-424-3660",
            "fax_number": "239-424-3663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOSA POPOTEUR",
        "first_name": "JOSE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-08",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME139059",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "29351",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07331505",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112321200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsosapopoteur279744@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": [
        {
            "first_name": "JOSE",
            "last_name": "SOSA",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.