Pedro P Ylisastigui, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME80423 Issued in FL

Practice address

1150 Lee Blvd Ste 4
Lehigh Acres, FL 33936-4805

Phone

(239) 369-9911

Fax

(239) 369-9901

NPI assigned

Jan 3, 2007

Last updated

Aug 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

University of North Dakota School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
• Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
• HCA Florida Lehigh Hospital Hospital, Lehigh Acres, FL, CCN 100107
• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7262/brand/1/csg/1/fhir/r4
• Direct secure messaging: pedro.ylisastigui.1@7262.direct.athenahealth.com

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.

• Pedro Ylisastigui. M.D.P.a.

  • Internal Medicine Physician
  • Lehigh Acres, FL
  • NPI 1295043552
  Medicare reassignment NPD Authorized official
• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043

  Internal Medicine

  NPD (past)

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

• Bridges Home Health Inc.

  dba Trilogy Home Healthcare

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1376517862
  Care Compare affiliation
• Hope 97 LLC

  dba HCA Florida Lehigh Hospital

  • General Acute Care Hospital
  • Lehigh Acres, FL
  • NPI 1982426615
  Care Compare affiliation
• Lee Health System Inc

  dba Lee Memorial Hospital

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation
• Lee Health System Inc

  dba Cape Coral Hospital

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation
• Providia Home Care LLC.

  dba Preferred Care Home Health Services

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1245409010
  Care Compare affiliation

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1477610715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 LEE BLVD STE 4",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364805",
            "telephone_number": "239-369-9911",
            "fax_number": "239-369-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 LEE BLVD STE 4",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364805",
            "telephone_number": "239-369-9911",
            "fax_number": "239-369-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YLISASTIGUI",
        "first_name": "PEDRO",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259642300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ys Friendly Health Care Home

• Internal Medicine Physician in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.