Organization Active NPI

Alessi Family Care PA

  • Preferred Provider Organization
  • Bonita Springs, FL
National Provider Identifier
1376743617
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
ALESSI FAMILY CARE PA
Practice address
9400 Bonita Beach Rd SE Ste 102
Bonita Springs, FL 34135-4520
Phone
(239) 992-5444
Fax
(239) 992-1315
NPI assigned
Jul 24, 2007
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Albert G Alessi, D.O.NPI 1689743890
Title
Provider
Phone
(239) 992-5444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X FL Primary

Addresses

Primary practice location

9400 Bonita Beach Rd SE Ste 102
Bonita Springs, FL 34135-4520

Mailing address

9400 Bonita Beach Rd SE Ste 102
Bonita Springs, FL 34135-4520
Phone (239) 992-5444

Other identifiers 2

IdentifierTypeStateIssuer
K1878OtherFLMEDICARE PROVIDER NUMBER
45155OtherFLBCBS OF FLORIDA PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080307000350 FL Part B Supplier - Clinic/Group Practice 6709961295 Receives reassigned benefits from 1 practitioner
Practice locations: Bonita Springs, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0975519Alessi Family Care9400 Bonita BCH Rd SE, Suite 201, Bonita Springs, FL 34135Certificate of waiverJul 10, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1376743617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 BONITA BEACH RD SE STE 102",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354520",
            "telephone_number": "239-992-5444",
            "fax_number": "239-992-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 BONITA BEACH RD SE STE 102",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354520",
            "telephone_number": "239-992-5444",
            "fax_number": "239-992-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALESSI FAMILY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "ALESSI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "239-992-5444",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "K1878",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA PROVIDER",
            "identifier": "45155",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.