NPIMap

Individual provider Active NPI

Lori Williams, M.D.

  • Internal Medicine Physician
  • Estero, FL
National Provider Identifier
1437133287
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME136142 Issued in FL
Practice address
23450 Via Coconut PT
Estero, FL 34135
Phone
(239) 468-0150
Fax
(239) 343-4056
NPI assigned
Dec 5, 2005
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME136142 FL Primary

Addresses

Primary practice location

23450 Via Coconut PT
Estero, FL 34135

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 468-0150

Other identifiers 2

IdentifierTypeStateIssuer
001761143MedicaidPA
103365300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181107001540 FL Practitioner - Internal Medicine 9133015340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Hahnemann University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Moorings IncorporatedGroup PAC ID 4688832066, shared by 2 NPIs, 116 clinicians

Practice addresses (Care Compare)

120 Moorings Park Dr
Naples, FL 34105-2122

130 Moorings Park Dr
Naples, FL 34105-2122

681 4TH Ave N
Suite 201
Naples, FL 34102-5729
Phone (312) 926-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.39 of 100Reported as group
Quality
74.12
Promoting interoperability
100
Improvement activities
40
Cost
77.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME136142FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medicine Florida Medical Group NFP Corporation CurrentSince Jul 1, 2024 Accepting new patients
Horizon Medical Corporation PC Internal Medicine PastSince Aug 2, 2020 Accepting new patients
Scranton Quincy Clinic Company LLC Internal Medicine Past Accepting new patients
Scranton Clinic Company LLC Internal Medicine Past Accepting new patients

Locations

681 4th Ave N
Ste 201
Naples, FL 34102
Phone (239) 920-5700

Dept 5777
Carol Stream, IL 60122

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1437133287",
    "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": "239-468-0150",
            "fax_number": "239-343-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23450 VIA COCONUT PT",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "34135",
            "telephone_number": "239-468-0150",
            "fax_number": "239-343-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LORI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME136142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001761143",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103365300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.