Active NPI
Manuel A. Pardo, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Fort Myers, FL
National Provider Identifier
1376583294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME49556
- Practice address
- 42 Barkley Cir
Suite, 2
Fort Myers, FL 33907-4543 - Phone
- (239) 728-3500
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME49556 | FL | Primary |
Addresses
Primary practice location
42 Barkley Cir
Suite, 2
Fort Myers, FL 33907-4543
Mailing address
42 Barkley Cir
Suite # 2
Fort Myers, FL 33907-4543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0420662-00 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME49556 | FL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Myers Internal Medicine LLC | Current | Accepting new patients | |
| Manuel a. Pardo, M.D. | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
| Schwartz and Schwartz Mdpa | Past | Accepting new patients | |
| Associates in Neurological Care of Lee County | Past | Accepting new patients |
Locations
13861 Plantation Rd
Ste 104
Fort Myers, FL 33912
Phone (239) 225-1306
Interoperability endpoints
- https://api.platform.athenahealth.com/5830/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Ft Myers, FL
- NPI 1346588621
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Myers, FL
- NPI 1861883712
-
- Specialist
- Fort Myers, FL
- NPI 1528257086
-
- Neurology Physician
- Fort Myers, FL
- NPI 1376634246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1376583294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 BARKLEY CIR",
"address_2": "SUITE # 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339074543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 BARKLEY CIR",
"address_2": "SUITE, 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339074543",
"telephone_number": "239-728-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARDO",
"first_name": "MANUEL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME49556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0420662-00",
"state": "FL"
}
],
"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 Oct 1, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.