Chut Sombutmai, DO
Individual provider Active NPI Neurology Physician · Fort Myers, FL
NPI 1649320987 · NPPES record last updated Jun 13, 2025
Key facts
- NPI
- 1649320987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- OS10770 (FL)
- Practice address
- 11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206 - Phone
- (239) 208-2212
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 105
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Charles Hospital Corp
Telespecialists North Carolina Neurology Services PLLC
Benefis Hospitals Inc
Piedmont Athens Hospitalist Physicians LLC
Altru Health System
St. Joseph Hospital of Nashua NH
The Charlotte-Mecklenburg Hospital Authority
Nchmd Inc
Virtual Neurology Texas PLLC
Virtual Neurology LLC
Practice addresses (Care Compare)
Concord, NC 28027
Phone (631) 474-6300
1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-5000
1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-5076
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000
172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600
200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 474-6000
315 Medical Park Dr
Suite 202
Concord, NC 28025-2973
Phone (704) 403-1911
350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100
9618 Estridge LN
Concord, NC 28027-7267
Phone (239) 208-2212
Hospital & facility affiliations
- Carolinas Medical Center-Northeast
- Adventhealth Waterman
- Adventhealth Orlando
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (16 enrollments) in NC, FL, ND, NH, NY, OR, AZ, MI, OH, MT, IA, GA, WA, KY, PA, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111102000829 | NC | Practitioner - Neurology | 4284807413 | Reassigns benefits to 16 organizations |
| I20130806000777 | FL | Practitioner - Neurology | 4284807413 | Reassigns benefits to 3 organizations |
| I20180426001819 | ND | Practitioner - Neurology |
4284807413 | Reassigns benefits to 2 organizations |
| I20180808002738 | NH | Practitioner - Neurology | 4284807413 | Reassigns benefits to 4 organizations |
| I20181219002932 | NY | Practitioner - Neurology | 4284807413 | Reassigns benefits to 5 organizations |
| I20190125002834 | OR | Practitioner - Neurology | 4284807413 | Reassigns benefits to 2 organizations |
| I20190131003352 | AZ | Practitioner - Neurology | 4284807413 | Reassigns benefits to 1 organization |
| I20190515002082 | MI | Practitioner - Neurology |
4284807413 | Reassigns benefits to 1 organization |
| I20191106001836 | OH | Practitioner - Neurology | 4284807413 | Reassigns benefits to 1 organization |
| I20200115001660 | MT | Practitioner - Neurology | 4284807413 | Reassigns benefits to 1 organization |
| I20200618000980 | IA | Practitioner - Neurology | 4284807413 | |
| I20201009001386 | GA | Practitioner - Neurology | 4284807413 | Reassigns benefits to 3 organizations |
| I20210715003398 | WA | Practitioner - Neurology |
4284807413 | Reassigns benefits to 1 organization |
| I20220915002043 | KY | Practitioner - Nephrology | 4284807413 | Reassigns benefits to 1 organization |
| I20230302000166 | PA | Practitioner - Neurology | 4284807413 | Reassigns benefits to 1 organization |
| I20231017000813 | MO | Practitioner - Neurology | 4284807413 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1486 | NE | MD | Clinical Social Worker |
| 2010-01765 | NC | MD | Neurology Physician |
| OS10770 | FL | MD | Hospitalist Physician |
Practice roles (60 of 74)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritas Health Corporation | Neurology | Current |
Accepting new patients |
| Good Samaritan Hospital Medical Center | Current | Accepting new patients | |
| Legacy Clinics LLC | Current |
Accepting new patients | |
| Lakeland Medical Practices | Current |
Accepting new patients | |
| Altru Health System | Family Medicine | Current | Accepting new patients |
| Onslow Memorial Hospital Inc | Current |
Accepting new patients | |
| Altru Health System | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Lee Memorial Health System | Current |
Accepting new patients | |
| Nchmd, Inc | Current |
Accepting new patients | |
| Kettering Independent Medical Group Inc | Family Medicine | Current |
Accepting new patients |
| McLeod Health Clarendon | Current | Accepting new patients | |
| McLeod Health Cheraw | Current | Accepting new patients | |
| Silverton Health | Family Medicine | Current |
Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| St. Joseph Hospital | Current |
Accepting new patients | |
| Landmark Hospital of Southwest Florida, LLC | Current |
Accepting new patients | |
| Summit Healthcare Association | Neurology | Current |
Accepting new patients |
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| Meritas Health Corporation | Neurology | Current |
Accepting new patients |
| Lee Health System Inc | Current |
Accepting new patients | |
| Lakeland Medical Practices | Current |
Accepting new patients | |
| St Charles Hospital Corp | Current |
Accepting new patients | |
| Concord Hospital, Inc. | Current |
Accepting new patients | |
| Legacy Salmon Creek Hospital | Hospitalist | Current |
Accepting new patients |
| Concord Hospital-Laconia | Family Medicine | Current |
Accepting new patients |
| St Alexius Medical Center | Current |
Accepting new patients | |
| Concord Hospital-Franklin | Current | Accepting new patients | |
| Lee Health System Inc | Family Medicine | Current |
Accepting new patients |
| St. Catherine of Siena Medical Center | Current |
Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Hospitalist | Current |
Accepting new patients |
| Mercy Medical Center | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current |
Accepting new patients | |
| Concord Hospital, Inc. | Current |
Accepting new patients | |
| St Joseph Hospital of Nashua NH | Family Medicine | Current |
Accepting new patients |
| Piedmont Athens Hospitalist Physicians LLC | Current |
Accepting new patients | |
| Meritas Health Corporation | Family Medicine | Current | Accepting new patients |
| Benefis Hospitals Inc | Current |
Accepting new patients | |
| Good Samaritan Hospital Medical | Current |
Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Virtual Neurology Kansas, LLC | Neurology | Current |
Accepting new patients |
| Lee Memorial Health System | Family Medicine | Current |
Accepting new patients |
| Legacy Clinics LLC | Family Medicine | Current |
Accepting new patients |
| Telespecialists North Carolina Neurology Services PLLC | Neurology | Current |
Accepting new patients |
| Silverton Health | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Lehigh Valley Physician Group | Family Medicine | Current | Accepting new patients |
| Columbus Ambulatory Healthcare Services, Inc. | Family Medicine | Current |
Accepting new patients |
| Virtual Neurology PC | Neurology | Current |
Accepting new patients |
| Mercy Medical Center | Current |
Accepting new patients | |
| St. Alexius Medical Center | Current |
Accepting new patients | |
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| Carolinas Medical Center | Current |
Accepting new patients | |
| Lehigh Valley Physician Group | Family Medicine | Current |
Accepting new patients |
| Piedmont Hospitalist Physicians LLC | Family Medicine | Current |
Accepting new patients |
| Altru Health System | Current |
Accepting new patients | |
| Legacy Salmon Creek Hospital | Current |
Accepting new patients | |
| Upson Medical Associates LLC | Family Medicine | Current |
Accepting new patients |
| Silverton Health | Current |
Accepting new patients |
Locations (25 of 73)
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700
11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206
9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120
801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072
9411 N Oak Trfy
Kansas City, MO 64155
Phone (816) 453-4000
2790 Clay Edwards Dr
#1235
North Kansas City, MO 64116
Phone (816) 472-5157
Networks
- Freedom Health HMO Network
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Optimum HealthCare HMO Network
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- csombutmai573277@direct.emplifyhealth.org
- csombutmai499800@carolinashealthcaresystem.direct-ci.com
- csombutmai33042@lakeland.midirect.net
- csombutmai4030666@direct.trinity-health.org
- csombutmai230547@santaclaravalley.direct-ci.net
- csombutmai71864@epicdirect.hf.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | OS10770 | FL | Yes |
| Neurology Physician | 2084N0400X | OS019617 | PA | |
| Neurology Physician | 2084N0400X | 17444 | NH | |
| Neurology Physician | 2084N0400X | 2010-01765 | NC | |
| Hospitalist Physician | 208M00000X | OS10770 | FL |
Addresses
Primary practice location
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Mailing address
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 984-6839
Other practice location 1
315 Medical Park Dr
Suite 202
Concord, NC 28025-1902
Phone (704) 403-1911
Other practice location 2
630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000
Other practice location 3
1010 Edgehill Rd N
Charlotte, NC 28207-1885
Phone (704) 446-1900
Other practice location 4
1250 S Cedar Crest Blvd Ste 405
Allentown, PA 18103-6224
Phone (610) 402-8420
Other practice location 5
101 E W T Harris Blvd
Suite 5202
Charlotte, NC 28262-3485
Phone (704) 403-1911
Other practice location 6
441 McAlister Rd
Suite 2200
Lincolnton, NC 28092-4126
Phone (800) 230-1721
Other practice location 7
9625 Northcross Center Ct
Suite 102-F
Huntersville, NC 28078-7348
Phone (800) 230-1721
Other practice location 8
172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 882-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3115195 | Medicaid | NH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | csombutmai604385@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Other providers in Fort Myers, FL
- Erin Soloway
- Tanya Ashley Solt
- Solutions Counseling of Southwest Florida
- Solutions in Psychology, Inc.
- Bhavani Somavaram
- Melissa Lee Sommers
- Jeffrey R Sonn
- Sonus-USA, Inc.
- Michael Sookra
- Soorena Sadri DPM PA
All providers in Fort Myers, FL · Neurology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.