Collier Medical Specialists, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME99073 Issued in FL

Legal business name

COLLIER MEDICAL SPECIALISTS, INC

Practice address

6615 Hillway Cir
Ste 200
Naples, FL 34112-8755

Phone

(239) 774-0345

Fax

(239) 774-1783

NPI assigned

Aug 28, 2007

Last updated

Apr 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rajeev Prem Rajani, M.D.NPI 1316038698

Title

Physician

Phone

(239) 774-0345

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajeev Rajani, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Naples, FL
  • NPI 1316038698
  Medicare reassignment Care Compare group Authorized official
• Sonia Nigudkar Rajani, MS, PT

  • Physical Therapist
  • Naples, FL
  • NPI 1841424876
  Medicare reassignment Care Compare group NPD
• Debra Lee Taylor, ARNP

  • Family Nurse Practitioner
  • Naples, FL
  • NPI 1568960581
  Medicare reassignment NPD
• Julie Alison Valenza, PA

  • Physician Assistant
  • Naples, FL
  • NPI 1033100474
  Medicare reassignment

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1295929891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 HILLWAY CIRCLE",
            "address_2": "STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341128755",
            "telephone_number": "239-774-0345",
            "fax_number": "239-774-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 HILLWAY CIR",
            "address_2": "STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341128755",
            "telephone_number": "239-774-0345",
            "fax_number": "239-774-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER MEDICAL SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "RAJANI",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_middle_name": "PREM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "239-774-0345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME99073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405284600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Collier Hma Physician Management, Inc (Medical Surgical Specialists)
• Collier Hma Physician Management, Inc.
• Collier Hma Physician Management, LLC
• Collier Hma Physician Management, LLC (Physician Regional Medical Group)
• Collier Home Care LLC
• Collier Medical, LLC
• Collier Neurologic Specialists LLC
• Collier Otolaryngology Hearing Center
• Collier Otolaryngology-Head and Neck Surgery PA
• Collier Pathology Services P a

• Internal Medicine Physician in Naples, FL
• Providers in Naples, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.