Organization Active NPI

Triana Internal Medicine, LLC

  • Primary Care Clinic/Center
  • Bonita Springs, FL
National Provider Identifier
1619830502
Registry record updated Dec 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TRIANA INTERNAL MEDICINE, LLC
Practice address
9401 Fountain Medical CT Ste 101
Bonita Springs, FL 34135-4612
Phone
(239) 989-1179
NPI assigned
Dec 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2025

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

Authorized official

Name
Dr. Jason Triana, MDNPI 1871711911
Title
Physician/Owner
Phone
(239) 989-1179

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

9401 Fountain Medical CT Ste 101
Bonita Springs, FL 34135-4612

Mailing address

9401 Fountain Medical CT Ste 101
Bonita Springs, FL 34135-4612
Phone (239) 989-1179

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260129004192 FL Part B Supplier - Clinic/Group Practice 5496233579 Receives reassigned benefits from 1 practitioner
Practice locations: Bonita Springs, FL

National Provider Directory

National Provider Directory

Locations

9401 Fountain Medical Ct
Ste 101
Bonita Springs, FL 34135
Phone (239) 989-1179

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765670400000",
    "number": "1619830502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 FOUNTAIN MEDICAL CT STE 101",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354612",
            "telephone_number": "239-989-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 FOUNTAIN MEDICAL CT STE 101",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354612",
            "telephone_number": "239-989-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANA INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-14",
        "certification_date": "2025-12-14",
        "status": "A",
        "authorized_official_last_name": "TRIANA",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "239-989-1179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2025; 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.