Active NPI
Johanna Paola Brown, M.D.
- Infectious Disease Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME148976
- Practice address
- 13340 Metro Pkwy Ste 310
Fort Myers, FL 33966-4818 - Phone
- (239) 343-1448
- Fax
- (239) 343-4178
- NPI assigned
- May 31, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 0101239801 | VA | |
| Infectious Disease Physician | 207RI0200X | A80763 | CA | |
| Infectious Disease Physician | 207RI0200X | ME148976 | FL | Primary |
Addresses
Primary practice location
13340 Metro Pkwy Ste 310
Fort Myers, FL 33966-4818
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 424-1500
Other practice location 1
2215 Landover Pl
Lynchburg, VA 24501-2115
Phone (434) 947-3944
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010275458 | Medicaid | VA | |
| 197750 | Other | ANTHEM | |
| 111559400 | Medicaid | FL |
Other names 1
- Johanna Paola Reina
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbrown273580@Direct.leememorial.org | Direct | Lee Memorial Health System |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1088 London Links Dr
Forest, VA 24551-4662
Phone (434) 534-6868
1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900
131 Jones St
Appomattox, VA 24522-9830
Phone (434) 352-8235
13340 Metro Pkwy
Fort Myers, FL 33966-4818
2215 Landover PL
Lynchburg, VA 24501-2115
Phone (434) 947-3900
8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845
Hospital & facility affiliations
- Cape Coral Hospital
- Lee Memorial Hospital
- Gulf Coast Medical Center Lee Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A80763 | CA | MD | Infectious Disease Physician |
Practice roles (7 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Memorial Health System | Infectious Disease | Current | Accepting new patients |
| Infectious Disease Associates of Central Virginia, LLC | Infectious Disease | Current | Accepting new patients |
| Lee Health System Inc | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Lee Health System Inc | Infectious Disease | Current | Accepting new patients |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700
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
13340 Metro Pkwy
Ste 310
Fort Myers, FL 33966
Phone (239) 343-1448
2780 Cleveland Ave
Ste 809
Fort Myers, FL 33901
Phone (239) 343-9680
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
2215 Landover Pl
Lynchburg, VA 24501
Phone (434) 947-3900
1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101
8644 Sudley Rd
#220
Manassas, VA 20110
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jbrown273580@direct.leememorial.org
- johanna.brown.1@18196.direct.athenahealth.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.
-
- Infectious Disease Physician
- Lynchburg, VA
- NPI 1841741089
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
Infectious Disease
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1346243649",
"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": "239-424-1500",
"fax_number": "239-424-1423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13340 METRO PKWY STE 310",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339664818",
"telephone_number": "239-343-1448",
"fax_number": "239-343-4178"
}
],
"practiceLocations": [
{
"address_1": "2215 Landover Pl",
"address_purpose": "LOCATION",
"city": "Lynchburg",
"state": "VA",
"postal_code": "245012115",
"country_code": "US",
"telephone_number": "434-947-3944",
"fax_number": "866-617-8273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "JOHANNA",
"middle_name": "PAOLA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-31",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "VA",
"license": "0101239801",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A80763",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME148976",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010275458",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "197750",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111559400",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbrown273580@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": "JOHANNA",
"last_name": "REINA",
"middle_name": "PAOLA",
"code": "1",
"type": "Former Name"
}
]
}
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 Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.