Organization Active NPI

Abbubacca Parkinson, DPM, PA

  • Podiatrist
  • Cape Coral, FL
National Provider Identifier
1376986224
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2944 Issued in FL
Legal business name
ABBUBACCA PARKINSON, DPM, PA
Practice address
6 NW 35TH Ave
Cape Coral, FL 33993-6932
Phone
(239) 273-8624
Fax
(239) 437-4237
NPI assigned
Apr 10, 2013
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Dr. Abbubacca Parkinson, DPMNPI 1467461541
Title
Owner
Phone
(239) 273-8624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO2944 FL Primary

Addresses

Primary practice location

6 NW 35TH Ave
Cape Coral, FL 33993-6932

Mailing address

PO Box 1330
Estero, FL 33929-1330
Phone (239) 273-8624

Other practice location 1

12811 Kenwood Ln
Ste 114
Fort Myers, FL 33907-5667
Phone (239) 273-8624

Other identifiers 1

IdentifierTypeStateIssuer
340205300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130501000072 FL Part B Supplier - Clinic/Group Practice 6305051558 Receives reassigned benefits from 1 practitioner
Practice locations: Cape Coral, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1376986224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339291330",
            "telephone_number": "239-273-8624",
            "fax_number": "239-437-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 NW 35TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339936932",
            "telephone_number": "239-273-8624",
            "fax_number": "239-437-4237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12811 Kenwood Ln",
            "address_2": "Ste 114",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339075667",
            "country_code": "US",
            "telephone_number": "239-273-8624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABBUBACCA PARKINSON, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "PARKINSON",
        "authorized_official_first_name": "ABBUBACCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-273-8624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340205300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.