Individual provider Active NPI

Abbubacca T Parkinson, DPM

  • Podiatrist
  • Cape Coral, FL
National Provider Identifier
1467461541
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2944 Issued in FL
Practice address
6 NW 35TH Ave
Cape Coral, FL 33993-6932
Phone
(239) 273-8624
Fax
(239) 437-4237
NPI assigned
Aug 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2944 FL Primary

Addresses

Primary practice location

6 NW 35TH Ave
Cape Coral, FL 33993-6932

Mailing address

PO Box 1330
Estero, FL 33929-1330
Phone (239) 273-8624

Other practice location 1

12811 Kenwood Ln
Ste 114
Fort Myers, FL 33907-5667
Phone (239) 273-8624

Other identifiers 1

IdentifierTypeStateIssuer
340205300MedicaidFL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071128000694 FL Practitioner - Podiatry 7012006034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 NW 35TH Ave
Cape Coral, FL 33993-6932
Phone (239) 273-8624

Hospital & facility affiliations

  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Eagleridge Health and Rehabilitation Center Nursing home, Fort Myers, FL, CCN 106020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of nail tissue6263
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2944FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Abbubacca Parkinson, DPM, PA Podiatrist CurrentSince Aug 1, 2001 Accepting new patients

Locations

5172 Mason Corbin Ct
Ste 3
Fort Myers, FL 33907
Phone (239) 273-8624

12811 Kenwood Ln
Ste 114
Fort Myers, FL 33907
Phone (239) 273-8624

Organizations & group practices 1

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 2

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": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1467461541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339291330",
            "telephone_number": "239-273-8624",
            "fax_number": "239-437-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 NW 35TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339936932",
            "telephone_number": "239-273-8624",
            "fax_number": "239-437-4237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12811 Kenwood Ln",
            "address_2": "STE 114",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339075667",
            "country_code": "US",
            "telephone_number": "239-273-8624",
            "fax_number": "239-947-8431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKINSON",
        "first_name": "ABBUBACCA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-06",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340205300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.