Individual provider Active NPI

Arelis Margarita Madera, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Port Charlotte, FL
National Provider Identifier
1487697272
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME74893 Issued in FL
Practice address
3611 Tamiami TRL Ste B
Port Charlotte, FL 33952-5508
Phone
(941) 235-0542
Fax
(941) 235-0545
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME74893 FL Primary

Addresses

Primary practice location

3611 Tamiami TRL Ste B
Port Charlotte, FL 33952-5508

Mailing address

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

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
I20040202000366 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 5991608291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1986
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
Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians

Practice addresses (Care Compare)

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

126 Del Prado Blvd N
Cape Coral, FL 33909-2713

13807 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 257-1108

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

13815 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 426-4900

13823 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 888-0770

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

171 Ctr Rd
Venice, FL 34285-5572
Phone (941) 499-5407

177 Ctr Rd
Venice, FL 34285-5572
Phone (941) 207-5350

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

2315 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 613-2222

2335 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 787-7665

2343 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 629-2900

2675 Winkler Ave
Fort Myers, FL 33901-9328

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

3000 S McCall Rd
Englewood, FL 34224-8616
Phone (941) 406-9029

315 E Olympia Ave
Punta Gorda, FL 33950-3823

3571 Del Prado Blvd N
Suite 2
Cape Coral, FL 33909-5287
Phone (239) 656-6300

3611 Tamiami TRL
Port Charlotte, FL 33952-5508
Phone (941) 235-0542

4130 Tamiami TRL
Suite 2
Port Charlotte, FL 33952-9207
Phone (941) 787-7100

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

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

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359
  • Desoto Memorial Hospital Hospital, Arcadia, FL, CCN 100175

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC Endocrinology, Diabetes & Metabolism CurrentSince Aug 25, 2014 Accepting new patients
Millennium Physician Group LLC CurrentSince Aug 25, 2014 Accepting new patients
Advanced Diabetes Treatment Centers LLC Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

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

3611 Tamiami Trl
Ste B
Pt Charlotte, FL 33952
Phone (941) 235-0542

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: arelis.madera.1@4290.direct.athenahealth.com

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 3

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1487697272",
    "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": "3611 TAMIAMI TRL STE B",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525508",
            "telephone_number": "941-235-0542",
            "fax_number": "941-235-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERA",
        "first_name": "ARELIS",
        "middle_name": "MARGARITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME74893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.