Individual provider Active NPI

Ashley Eryn Pezzi, M.D.

  • Dermatology Physician
  • Fort Myers, FL
National Provider Identifier
1457884066
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME155451 Issued in FL
Practice address
13691 Metro Pkwy Ste 200
Fort Myers, FL 33912-4321
Phone
(239) 291-3604
Fax
(239) 291-3605
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X S7933 TX
Dermatology Physician 207N00000X ME155451 FL Primary

Addresses

Primary practice location

13691 Metro Pkwy Ste 200
Fort Myers, FL 33912-4321

Mailing address

6321 Daniels Pkwy Ste 200
Fort Myers, FL 33912-4773
Phone (941) 626-1530

Other practice location 1

1615 W League City Pkwy Ste 300
League City, TX 77573-7458
Phone (281) 665-4444

Other names 1

  • Ms. Ashley Eryn Turkeltaub Former name

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
I20220816000875 FL Practitioner - Dermatology 4385913474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians

Practice addresses (Care Compare)

9341 Marketplace Rd
Fort Myers, FL 33912-6892
Phone (239) 291-3604

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision31
Removal of skin lesions1075
Removal or shaving of skin growth31
Skin biopsy385

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME155451FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Sep 1, 2022 Accepting new patients
Millennium Physician Group LLC CurrentSince Sep 1, 2022 Accepting new patients
Precision Healthcare Specialists, LLC Dermatology CurrentSince Jul 17, 2023 Accepting new patients
Precision Healthcare Specialists Dermatology PastSince Jul 17, 2023 Accepting new patients

Locations

513 Cape Coral Pkwy W
Cape Coral, FL 33914
Phone (239) 291-3604

9341 Marketplace Rd
Fort Myers, FL 33912
Phone (239) 291-3604

6321 Daniels Pkwy
Ste 200
Fort Myers, FL 33912
Phone (855) 674-7400

13691 Metro Pkwy
Ste 200
Fort Myers, FL 33912
Phone (239) 291-3604

13691 Metro Pkwy
Ste 300
Fort Myers, FL 33912
Phone (239) 291-6970

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

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

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: apezzi@phs.emadirect.md
  • Direct secure messaging: apezzi@directaddress.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1457884066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 DANIELS PKWY STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124773",
            "telephone_number": "941-626-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124321",
            "telephone_number": "239-291-3604",
            "fax_number": "239-291-3605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 W League City Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775737458",
            "country_code": "US",
            "telephone_number": "281-665-4444",
            "fax_number": "888-783-4180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEZZI",
        "first_name": "ASHLEY",
        "middle_name": "ERYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S7933",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME155451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "TURKELTAUB",
            "middle_name": "ERYN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.