Individual provider Active NPI

Cameron Wales

  • Dermatopathology (Pathology) Physician
  • Cape Coral, FL
National Provider Identifier
1538696455
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
M-16213 Issued in ID
Practice address
14 Del Prado Blvd N Ste 201
Cape Coral, FL 33909-2797
Phone
(239) 242-1940
Fax
(239) 772-5440
NPI assigned
May 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X ME157824 FL
Dermatopathology (Pathology) Physician 207ZD0900X M-16213 ID Primary

Addresses

Primary practice location

14 Del Prado Blvd N Ste 201
Cape Coral, FL 33909-2797

Mailing address

8381 Riverwalk Park Blvd Ste 101
Fort Myers, FL 33919-8760
Phone (239) 242-1940

Other identifiers 1

IdentifierTypeStateIssuer
M-16213OtherIDMEDICAL LICENSE

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
I20240416004376 FL Practitioner - Pathology 7214276674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Univ of Central Florida, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Dermatology M D P LGroup PAC ID 1355370495, 12 clinicians

Practice addresses (Care Compare)

14 Del Prado N Blvd
Suite 301
Cape Coral, FL 33909-2797
Phone 2399365425221

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
70.07
Promoting interoperability
100
Improvement activities
40
Cost
55.38

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-16213IDMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Dermatology M D P L CurrentSince Apr 9, 2024 Accepting new patients
Ada West Dermatopathology, LLC CurrentSince Mar 1, 2013 Accepting new patients

Locations

14 Del Prado Blvd N
Ste 201
Cape Coral, FL 33909
Phone (239) 242-1940

14 Del Prado Blvd N
Ste 301
Cape Coral, FL 33909
Phone 2399365425221

8381 Riverwalk Park Blvd
Ste 101
Fort Myers, FL 33919
Phone (239) 936-5425

1618 S Millenium Way
Ste 100
Meridian, ID 83642
Phone (208) 884-3376

1618 S Millenium Way
Ste 220
Meridian, ID 83642
Phone (208) 884-3376

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00020

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.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1538696455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8381 RIVERWALK PARK BLVD STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198760",
            "telephone_number": "239-242-1940",
            "fax_number": "239-772-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DEL PRADO BLVD N STE 201",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092797",
            "telephone_number": "239-242-1940",
            "fax_number": "239-772-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALES",
        "first_name": "CAMERON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-23",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME157824",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "ID",
            "license": "M-16213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "M-16213",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.