Individual provider Active NPI

Warren A Wilkes, MD

  • Pulmonary Disease Physician
  • Fort Myers, FL
National Provider Identifier
1407994262
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME138068 Issued in FL
Practice address
13340 Metro Pkwy Ste 400
Fort Myers, FL 33966
Phone
(239) 343-1105
Fax
(239) 343-1106
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME138068 FL Primary

Addresses

Primary practice location

13340 Metro Pkwy Ste 400
Fort Myers, FL 33966

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-1105

Other identifiers 1

IdentifierTypeStateIssuer
101540200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wwilkes131816@Direct.leememorial.org Lee Memorial Health System

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041105000635 PA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 6204899727 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME138068FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lung Health Services PC Pulmonary Disease CurrentSince Jul 1, 2023 Accepting new patients
Montgomery County Pulmonary and Sleep Consultants PC Pulmonary Disease CurrentSince Mar 1, 2023 Accepting new patients
Pulmonary Medicine Consultants, S.C. Pulmonary Disease Past Accepting new patients

Locations

601 Dresher Rd
Ste 203B
Horsham, PA 19044
Phone (267) 500-5027

1240 S Broad St
Ste 220230
Lansdale, PA 19446
Phone (215) 774-8656

1240 S Broad St
Ste 230
Lansdale, PA 19446
Phone (267) 500-5027

325 W Germantown Pike
Ste 301
Norristown, PA 19403
Phone (610) 275-2446

Interoperability endpoints

  • Direct secure messaging: warren.wilkes@76967349977092.direct.elationemr.com
  • Direct secure messaging: wwilkes131816@direct.leememorial.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1407994262",
    "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": "239-343-1105",
            "fax_number": "239-343-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13340 METRO PKWY STE 400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33966",
            "telephone_number": "239-343-1105",
            "fax_number": "239-343-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "WARREN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME138068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101540200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wwilkes131816@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "Lee Memorial Health System",
            "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": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.