Organization Active NPI

Tritel Concierge Medicine LLC

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1396366985
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TRITEL CONCIERGE MEDICINE LLC
Practice address
6846 International Center Blvd Ste a
Fort Myers, FL 33912-7155
Phone
(239) 244-9670
Fax
(239) 244-9670
NPI assigned
May 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Dr. Paul Tritel, MDNPI 1518965482
Title
Owner/Physician
Phone
(239) 244-9670

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6846 International Center Blvd Ste a
Fort Myers, FL 33912-7155

Mailing address

6846 International Center Blvd Ste a
Fort Myers, FL 33912-7155
Phone (239) 244-9670

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@tritelcm.com Direct

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
10D2121812Tritel Concierge Medicine LLC6846 International Center Blvd Suite a, Fort Myers, FL 33912Certificate of waiverNov 14, 2026

National Provider Directory

National Provider Directory

Locations

6846 International Center Blvd
Ste A
Fort Myers, FL 33912
Phone (239) 244-9670

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1396366985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6846 INTERNATIONAL CENTER BLVD STE A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127155",
            "telephone_number": "239-244-9670",
            "fax_number": "239-244-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6846 INTERNATIONAL CENTER BLVD STE A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127155",
            "telephone_number": "239-244-9670",
            "fax_number": "239-244-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRITEL CONCIERGE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "TRITEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "239-244-9670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@tritelcm.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6846 International Center Blvd Ste A",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339127155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.