Individual provider Active NPI

Mary Ann M Lomonaco, MD

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1457308199
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME84778 Issued in FL
Practice address
11181 Health Park Blvd Ste 3030
Naples, FL 34110-5743
Phone
(239) 249-8996
Fax
(239) 431-5845
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 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 ME84778 FL Primary

Addresses

Primary practice location

11181 Health Park Blvd Ste 3030
Naples, FL 34110-5743

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other practice location 1

800 Goodlette Rd Ste 200
Naples, FL 34102-5408
Phone (239) 302-3300

Other identifiers 1

IdentifierTypeStateIssuer
265234000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100309000208 FL Practitioner - Internal Medicine 5698850147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Vermont College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
The Moorings IncorporatedGroup PAC ID 4688832066, shared by 2 NPIs, 116 clinicians

Practice addresses (Care Compare)

1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364

11181 Health Park Blvd
Naples, FL 34110-5743

120 Moorings Park Dr
Naples, FL 34105-2122

130 Moorings Park Dr
Naples, FL 34105-2122

13691 Metro Pkwy
Fort Myers, FL 33912-4322

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343

150 W McKenzie St
Punta Gorda, FL 33950-5500
Phone (941) 621-6476

1735 SW Health Pkwy
Suite 201
Naples, FL 34109-0421
Phone (239) 249-7800

1855 Veterans Park Dr
Suite 101
Naples, FL 34109-0446
Phone (239) 963-1060

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

2675 Winkler Ave
Fort Myers, FL 33901-9328

2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328

3434 Hancock Bridge Pkwy
Suite 301
North Fort Myers, FL 33903-7099
Phone (877) 856-3774

400 8TH St N
Naples, FL 34102-5519
Phone (239) 261-5511

4881 Palm Beach Blvd
Suite 100
Fort Myers, FL 33905-3217
Phone (239) 693-9191

606 Bald Eagle Dr
Suite 302
Marco Island, FL 34145-2766
Phone (239) 393-2220

6610 Willow Park Dr
Suite 101
Naples, FL 34109-9014
Phone (239) 649-3307

800 Goodlette N Rd
Suite 200
Naples, FL 34102-5408
Phone (239) 719-3362

800 Goodlette Rd
Suite 205
Naples, FL 34102-5408
Phone (239) 315-7538

900 Pine St
Suite 221
Englewood, FL 34223-4458
Phone (941) 548-1708

Hospital & facility affiliations

  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Empath Home Health Home health agency, Fort Myers, FL, CCN 109786
  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Pinnacle Home Care Home health agency, Fort Myers, FL, CCN 683113
  • Avow Hospice Inc Hospice, Naples, FL, CCN 101528
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME84778FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Jan 10, 2015 Accepting new patients
Millennium Physician Group LLC Internal Medicine CurrentSince Jan 10, 2015 Accepting new patients
Anchor Health Centers PA Internal Medicine Past Accepting new patients

Locations

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

11181 Health Park Blvd
Ste 3030
Naples, FL 34110
Phone (239) 249-8996

800 Goodlette Rd
Ste 200
Naples, FL 34102
Phone (239) 302-3300

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mary.ann.lomonaco.1@4290.direct.athenahealth.com

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.

Hospital & facility affiliations 8

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1457308199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11181 HEALTH PARK BLVD STE 3030",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341105743",
            "telephone_number": "239-249-8996",
            "fax_number": "239-431-5845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Goodlette Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025408",
            "country_code": "US",
            "telephone_number": "239-302-3300",
            "fax_number": "239-302-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOMONACO",
        "first_name": "MARY ANN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME84778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265234000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.