Active NPI
Kevin Encarnacion, D.O.
- Emergency Medicine Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS10704
- Practice address
- 13681 Doctors Way
Fort Myers, FL 33912-4300 - Phone
- (239) 343-3292
- Fax
- (239) 343-3695
- NPI assigned
- Jan 4, 2006
- Last updated
- Nov 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS10704 | FL | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | OS10704 | FL |
Addresses
Primary practice location
13681 Doctors Way
Fort Myers, FL 33912-4300
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-3292
Other practice location 1
2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 343-3292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002006300 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kencarnacion491@Direct.leememorial.org | Direct | Lee Memorial Health System |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900
13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-2606
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Personal Touch Therapy and Wellness | Current | Accepting new patients | |
| Southwest Florida Emergency Physicians, PA | Emergency Medicine | Current | Accepting new patients |
| Lee Health System Inc | Current | Accepting new patients | |
| Southwest Florida Emergency Management LLC | Emergency Medicine | Current | Accepting new patients |
| Lee Health System Inc | Current | Accepting new patients | |
| Southwest Florida Advanced Wound Care, LLC | Current | Accepting new patients | |
| Florida Em-I Medical Services, PA | Past | Accepting new patients | |
| Marshall Amaya & Anton P L | Emergency Medicine | Past | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
3321 Del Prado Blvd S
Ste 3
Cape Coral, FL 33904
Phone (239) 230-2490
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
23450 Via Coconut Pt
Estero, FL 34135
Phone (239) 468-0150
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
40 S Heathwood Dr
Marco Island, FL 34145
Phone (239) 393-4079
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032
5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- kencarnacion491@direct.leememorial.org
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- General Practice Physician
- Cape Coral, FL
- NPI 1962396424
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1780911206
-
- Emergency Medicine Physician
- Fort Myers, FL
- NPI 1588659502
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
-
- Internal Medicine Physician
- Marco Island, FL
- NPI 1801125331
-
dba Lee Health Specialty Pharmacy
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Physical Therapist
- Cape Coral, FL
- NPI 1538828389
-
- Nurse Practitioner
- Port Charlotte, FL
- NPI 1306198502
-
dba Emergency Room Medical Associates
- Emergency Medicine Physician
- Miami, FL
- NPI 1669419529
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Gulf Coast Medical Center
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
dba Lee Memorial Hospital
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669334400000",
"number": "1548248115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-3292",
"fax_number": "239-343-3695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13681 DOCTORS WAY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124300",
"telephone_number": "239-343-3292",
"fax_number": "239-343-3695"
}
],
"practiceLocations": [
{
"address_1": "2776 Cleveland Ave",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339015864",
"country_code": "US",
"telephone_number": "239-343-3292",
"fax_number": "239-343-3695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENCARNACION",
"first_name": "KEVIN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2022-11-25",
"certification_date": "2022-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS10704",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "FL",
"license": "OS10704",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002006300",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kencarnacion491@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "Lee Memorial Health System",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Myers, FL
- Empower Her Physical Therapy and Wellness
- Empowered Therapy LLC
- Empowering Lives Center Inc (Empowering Center)
- Kaylin Enamorado
- Christina Encarnacion, RD
- Encompass Health Rehabilitation Hospital of Fort Myers, LLC (Rehabilitation Hospital of Fort Myers)
- Encore Imaging LLC
- Rachel Enders
- Endocrine & Diabetes Care, PLLC
- Teresa Engel, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.