Individual provider Active NPI

Albert Richard Pescitelli, M.D.

  • Specialist
  • Fort Myers, FL
National Provider Identifier
1316932536
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0059299 Issued in FL
Practice address
7890 Summerlin Lakes Dr
Suite #3
Fort Myers, FL 33907-1851
Phone
(239) 939-1999
Fax
(239) 939-4935
NPI assigned
Sep 14, 2005
Reactivated
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0059299 FL Primary

Addresses

Primary practice location

7890 Summerlin Lakes Dr
Suite #3
Fort Myers, FL 33907-1851

Mailing address

7890 Summerlin Lakes Dr
Suite #3
Fort Myers, FL 33907-1851
Phone (239) 939-1999

Other identifiers 2

IdentifierTypeStateIssuer
052728900MedicaidFL
008470600MedicaidFL

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
I20040407001443 FL Practitioner - Obstetrics/Gynecology 2769475326 Reassigns benefits to 3 organizations
Practice locations: Fort Myers, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0059299FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
A. Richard Pescitelli, MD, PA Specialist Current Accepting new patients
Jorge a Fernandez-Sanchez, MD, PA Specialist CurrentSince Jun 14, 2024 Accepting new patients
OB Hospitalist Group LLC CurrentSince Sep 20, 2023 Accepting new patients
DHP of Manatee PA CurrentSince Apr 1, 2024 Accepting new patients
A. Rischard Pescitelli, M.D., Inc. Current Accepting new patients
Hygea Essentials, PLLC PastSince Feb 14, 2013 Accepting new patients
Women'S Healthcare of SW Florida Past Accepting new patients

Locations

33 Barkley Cir
Ste A
Fort Myers, FL 33907
Phone (239) 939-1999

7100 W 20th Ave
Ste 803
Hialeah, FL 33016
Phone (305) 556-3122

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

Interoperability endpoints

  • Direct secure messaging: arp@whosfl-fl.direct.office.nextgen.com

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1316932536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7890 SUMMERLIN LAKES DR",
            "address_2": "SUITE #3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071851",
            "telephone_number": "239-939-1999",
            "fax_number": "239-939-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7890 SUMMERLIN LAKES DR",
            "address_2": "SUITE #3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071851",
            "telephone_number": "239-939-1999",
            "fax_number": "239-939-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESCITELLI",
        "first_name": "ALBERT",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2013-08-30",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "0059299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052728900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008470600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.