Individual provider Active NPI

Paul Tritel, MD

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1518965482
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME74852 Issued in FL
Practice address
6846 International Center Blvd
Suite a
Fort Myers, FL 33912
Phone
(239) 244-9670
Fax
(239) 244-9631
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME74852 FL Primary

Addresses

Primary practice location

6846 International Center Blvd
Suite a
Fort Myers, FL 33912

Mailing address

6846 International Center Blvd Ste a
Fort Myers, FL 33912-7155
Phone (239) 244-9670

Other identifiers 1

IdentifierTypeStateIssuer
258011000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2017 through Jan 1, 2027

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Hahnemann University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1499 S Brandywine Cir
Fort Myers, FL 33919-6775
Phone (239) 202-0059

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Fort Myers, FL, CCN 683113
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME74852FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tritel Concierge Medicine LLC Internal Medicine CurrentSince May 10, 2020 Accepting new patients
Good Samaritan Medical Center, Inc. Past Accepting new patients

Locations

6846 International Center Blvd
Ste A
Fort Myers, FL 33912
Phone (239) 244-9670

Organizations & group practices 2

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1518965482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6846 INTERNATIONAL CENTER BLVD STE A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127155",
            "telephone_number": "239-244-9670",
            "fax_number": "239-244-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6846 INTERNATIONAL CENTER BLVD",
            "address_2": "SUITE A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-244-9670",
            "fax_number": "239-244-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRITEL",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME74852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258011000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.