Individual provider Active NPI

Nicoleta Kakaes, M.D.

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1619315892
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6091 Issued in GA
Practice address
599 9TH St N
Ste 308
Naples, FL 34102-5627
Phone
(239) 643-7888
Fax
(239) 643-4744
NPI assigned
Jun 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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 6091 GA Primary

Addresses

Primary practice location

599 9TH St N
Ste 308
Naples, FL 34102-5627

Mailing address

599 9TH St N
Ste 308
Naples, FL 34102-5627
Phone (239) 643-7888

Other identifiers 3

IdentifierTypeStateIssuer
FN65POtherFLBCBS
IQ882ZOtherFLMEDICARE
018083100MedicaidFL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160906000162 FL Practitioner - HospitalistPractitioner - Internal Medicine 6507168549 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WVL Synergy Medical Services, LLCGroup PAC ID 4688915085, 3 clinicians

Practice addresses (Care Compare)

599 9TH St N
Suite 211
Naples, FL 34102-5625
Phone (239) 643-7888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006091GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Inpatient Partners LLC Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Millennium Physician Group LLC Internal Medicine CurrentSince Jun 29, 2019 Accepting new patients
WVL Synergy Medical Services, LLC Internal Medicine CurrentSince Sep 7, 2020 Accepting new patients
Millennium Physician Group LLC CurrentSince Jun 29, 2019 Accepting new patients

Locations

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

599 9th St N
Ste 308
Naples, FL 34102
Phone (239) 423-7139

599 9th St N
Ste 211
Naples, FL 34102
Phone (239) 263-8001

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

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

21297 Olean Blvd
#A
Pt Charlotte, FL 33952
Phone (855) 979-5700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1619315892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 9TH ST N",
            "address_2": "STE 308",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025627",
            "telephone_number": "239-643-7888",
            "fax_number": "239-643-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 9TH ST N",
            "address_2": "STE 308",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025627",
            "telephone_number": "239-643-7888",
            "fax_number": "239-643-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKAES",
        "first_name": "NICOLETA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2023-09-08",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "6091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "FN65P",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IQ882Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018083100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.