NPIMap

Organization Active NPI

Axel Health LLC

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1578968749
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AXEL HEALTH LLC
Practice address
4755 Summerlin Rd Ste 8
Fort Myers, FL 33919-1073
Phone
(239) 208-6648
Fax
(855) 462-3008
NPI assigned
Oct 29, 2014
Last updated
May 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Sumeet Shetty, MDNPI 1245319391
Title
Owner
Phone
(239) 682-5797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Physical Medicine & Rehabilitation Physician 208100000X

Addresses

Primary practice location

4755 Summerlin Rd Ste 8
Fort Myers, FL 33919-1073

Mailing address

4820 Griffin Blvd
Fort Myers, FL 33908-2016
Phone (239) 682-5797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150218001840 FL Part B Supplier - Clinic/Group Practice 2062737885 Receives reassigned benefits from 47 practitioners
Practice locations: Fort Myers, FL; Venice, FL; Cape Coral, FL

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1578968749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 GRIFFIN BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082016",
            "telephone_number": "239-682-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 SUMMERLIN RD STE 8",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339191073",
            "telephone_number": "239-208-6648",
            "fax_number": "855-462-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXEL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "SUMEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-682-5797",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.