Individual provider Active NPI

Paul C Makhlouf, MD

  • Nuclear Medicine Physician
  • Naples, FL
National Provider Identifier
1457553398
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
ME98397 Issued in FL
Practice address
5856 Whisperwood CT
Naples, FL 34110-2307
Phone
(804) 514-7627
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X ME98397 FL
Nuclear Medicine Physician 207U00000X ME98397 FL Primary

Addresses

Primary practice location

5856 Whisperwood CT
Naples, FL 34110-2307

Mailing address

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916-2216
Phone (239) 274-8200

Other identifiers 3

IdentifierTypeStateIssuer
ME98397OtherFLMEDICAL LICENSE
279965100MedicaidFL
02631OtherFLBCBS OF FL

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
I20071207000323 FL Practitioner - Nuclear Medicine 6103915624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians

Practice addresses (Care Compare)

100 Highland Ave N
Largo, FL 33770-2542
Phone (727) 683-2900

1030 Commerce Creek Blvd
Cape Coral, FL 33909-6529
Phone (239) 772-3544

1037 S State Rd 7
303 Florida Cancer Specialists P L
Wellington, FL 33414-6140
Phone (561) 366-4100

1100 Goodlette Rd N
Research Institute LLC
Naples, FL 34102-5451
Phone (239) 424-0656

1309 N Flagler Dr
Florida Cancer Specialists PL
West Palm Beach, FL 33401-3406
Phone (561) 366-4100

1390 Grand Venture Dr
North Port, FL 34286-2309
Phone (941) 257-2280

1396 Whisper Cir
Sebring, FL 33870-1204
Phone (863) 385-1244

22395 Edgewater Dr
Florida Cancer Specialists P L
Port Charlotte, FL 33980-2012
Phone (941) 766-7222

2351 Phillips Rd
Tallahassee, FL 32308-5333
Phone (850) 877-8166

2848 Ctr Pointe Dr
FL 1
Fort Myers, FL 33916-9521
Phone (239) 561-9622

2890 Ctr Pointe Dr
Fort Myers, FL 33916-9521

3401 Pga Blvd
Suite 200
Palm Beach Gardens, FL 33410-2824
Phone (561) 366-4100

3402 W Dr Martin Luther King Jr BLV
Florida Cancer Specialists PL
Tampa, FL 33607-6214
Phone (813) 875-3950

3840 Broadway
Fort Myers, FL 33901-8108
Phone (239) 275-6400

40215 Hwy 27
Davenport, FL 33837-7813
Phone (863) 421-9705

403 S Kings Ave
100 Florida Cancer Specialists PL
Brandon, FL 33511-4307
Phone (813) 982-3460

4689 US Hwy 17
Suite 2 5
Fleming Island, FL 32003-4831
Phone (904) 269-6526

4724 N Davis Hwy
Suite 100
Pensacola, FL 32503-2339
Phone (850) 201-2421

4945 SW 49TH PL
Ocala, FL 34474-9673
Phone (352) 237-9430

521 N Lecanto Hwy
Florida Cancer Specialists PL
Lecanto, FL 34461-9187
Phone (352) 746-0707

5500 Pinebrook Rd
Suite 202
North Venice, FL 34275-3678
Phone (941) 408-0500

5985 Silver Falls Run
Suite 200
Bradenton, FL 34211-1291
Phone (941) 907-4737

600 Zeagler Dr
Palatka, FL 32177-3811
Phone (386) 325-8140

601 E Dixie Avenue
1001 Florida Cancer Specialists PL
Leesburg, FL 34748-7309
Phone (352) 787-9448

6400 Sanger Rd
Orlando, FL 32827-7400

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98397FLMDNuclear Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Mar 1, 2021 Accepting new patients
Radiology Regional Center Professional Services LLC CurrentSince May 1, 2015 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients

Locations

1708 Cape Coral Pkwy W
Ste 313
Cape Coral, FL 33914
Phone (239) 541-3800

3660 Broadway
Fort Myers, FL 33901
Phone (239) 424-1449

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

3402 W Mlk Blvd
Tampa, FL 33607
Phone (813) 875-3950

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1457553398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 VERONICA S SHOEMAKER BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162216",
            "telephone_number": "239-274-8200",
            "fax_number": "239-278-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5856 WHISPERWOOD CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341102307",
            "telephone_number": "804-514-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKHLOUF",
        "first_name": "PAUL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "FL",
            "license": "ME98397",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "FL",
            "license": "ME98397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME98397",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279965100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "02631",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.