Individual provider Active NPI

Anita Gofran, MD

  • Hospitalist Physician
  • Naples, FL
National Provider Identifier
1629277637
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME136260 Issued in FL
Practice address
2338 Immokalee Rd Ste 186
Naples, FL 34110
Phone
(239) 330-2933
NPI assigned
Jul 11, 2007
Last updated
Sep 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 232517-1 NY
Hospitalist Physician 208M00000X ME136260 FL Primary

Addresses

Primary practice location

2338 Immokalee Rd Ste 186
Naples, FL 34110

Mailing address

2338 Immokalee Rd Ste 186
Naples, FL 34110-1445
Phone (239) 330-2933

Other practice location 1

6846 Buckley Rd
North Syracuse, NY 13212-4275
Phone (315) 410-6400

Other identifiers 4

IdentifierTypeStateIssuer
197654001MedicaidTX
236AA1OtherNYMEDICARE
8K3741OtherTXMEDICARE
00243554MedicaidNY

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
I20181129000760 FL Practitioner - Internal MedicinePractitioner - Neurology 8820069651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Neurology
Education
Howard University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Inpatient Partners LLCGroup PAC ID 3476832528, 40 clinicians
Prestige Outpatient Providers LLCGroup PAC ID 3870929615, 16 clinicians

Practice addresses (Care Compare)

350 7TH St N
Naples, FL 34102-5754
Phone (239) 624-5000

6135 Rattlesnake Hammock Rd
Naples, FL 34113-2912
Phone (239) 775-7715

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232517-1NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Outpatient Providers, LLC CurrentSince Jan 1, 2026 Accepting new patients
Premier Inpatient Partners LLC Hospitalist CurrentSince Sep 15, 2018 Accepting new patients
North Medical PC Past Accepting new patients

Locations

2338 Immokalee Rd
Naples, FL 34110
Phone (239) 330-2933

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

6135 Rattlesnake Hammock Rd
Naples, FL 34113
Phone (239) 775-7661

6135 Rattlesnake Hammock Rd
#R
Naples, FL 34113
Phone (239) 775-7715

Interoperability endpoints

  • Direct secure messaging: anita.gofran.1@14267.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1629277637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 IMMOKALEE RD STE 186",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101445",
            "telephone_number": "239-330-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 IMMOKALEE RD STE 186",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34110",
            "telephone_number": "239-330-2933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6846 Buckley Rd",
            "address_purpose": "LOCATION",
            "city": "North Syracuse",
            "state": "NY",
            "postal_code": "132124275",
            "country_code": "US",
            "telephone_number": "315-410-6400",
            "fax_number": "315-410-6410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOFRAN",
        "first_name": "ANITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "232517-1",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME136260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197654001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "236AA1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8K3741",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243554",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.