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

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.

View all 105

Hospital & facility affiliations 5

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

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 (62 clinicians)
Telespecialists North Carolina Neurology Services PLLC (28 clinicians)
Benefis Hospitals Inc (390 clinicians)
Piedmont Athens Hospitalist Physicians LLC (174 clinicians)
Altru Health System (675 clinicians)
St. Joseph Hospital of Nashua NH (271 clinicians)
The Charlotte-Mecklenburg Hospital Authority (594 clinicians)
Nchmd Inc (503 clinicians)
Virtual Neurology Texas PLLC (151 clinicians)
Virtual Neurology LLC (161 clinicians)

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 Hospital · Concord, NC · CCN 340001
  • Adventhealth Waterman Hospital · Tavares, FL · CCN 100057
  • Adventhealth Orlando Hospital · Orlando, FL · CCN 100007

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 IDStateProvider typePAC IDDetails
I20111102000829 NC Practitioner - Neurology 4284807413 Reassigns benefits to 16 organizations
I20130806000777 FL Practitioner - Neurology 4284807413 Reassigns benefits to 3 organizations
I20180426001819 ND Practitioner - Neurology
Practitioner - Other (Physician)
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
Practitioner - Other (Physician)
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
Practitioner - Other (Physician)
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

LicenseStateTypeSpecialty
1486NEMDClinical Social Worker
2010-01765NCMDNeurology Physician
OS10770FLMDHospitalist Physician

Practice roles (60 of 74)

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Neurology Current
since Sep 13, 2023
Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Legacy Clinics LLC Current
since Sep 24, 2018
Accepting new patients
Lakeland Medical Practices Current
since Apr 8, 2019
Accepting new patients
Altru Health System Family Medicine Current Accepting new patients
Onslow Memorial Hospital Inc Current
since Oct 23, 2024
Accepting new patients
Altru Health System Current
since Apr 16, 2018
Accepting new patients
Baptist Health Medical Group Inc Family Medicine Current Accepting new patients
Lee Memorial Health System Current
since Apr 15, 2020
Accepting new patients
Nchmd, Inc Current
since Apr 1, 2023
Accepting new patients
Kettering Independent Medical Group Inc Family Medicine Current
since Oct 21, 2023
Accepting new patients
McLeod Health Clarendon Current Accepting new patients
McLeod Health Cheraw Current Accepting new patients
Silverton Health Family Medicine Current
since Apr 20, 2023
Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
St. Joseph Hospital Current
since Dec 15, 2018
Accepting new patients
Landmark Hospital of Southwest Florida, LLC Current
since Apr 1, 2023
Accepting new patients
Summit Healthcare Association Neurology Current
since Oct 15, 2018
Accepting new patients
Carolinas Physicians Network Inc Current
since Jul 5, 2021
Accepting new patients
Meritas Health Corporation Neurology Current
since Sep 13, 2023
Accepting new patients
Lee Health System Inc Current
since Oct 1, 2024
Accepting new patients
Lakeland Medical Practices Current
since Apr 8, 2019
Accepting new patients
St Charles Hospital Corp Current
since Aug 1, 2023
Accepting new patients
Concord Hospital, Inc. Current
since Oct 1, 2020
Accepting new patients
Legacy Salmon Creek Hospital Hospitalist Current
since Apr 8, 2021
Accepting new patients
Concord Hospital-Laconia Family Medicine Current
since Jun 1, 2022
Accepting new patients
St Alexius Medical Center Current
since Apr 10, 2018
Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Lee Health System Inc Family Medicine Current
since Oct 1, 2024
Accepting new patients
St. Catherine of Siena Medical Center Current
since Oct 22, 2018
Accepting new patients
Nchmd Inc Current Accepting new patients
Lehigh Valley Physician Group Hospitalist Current
since Oct 27, 2022
Accepting new patients
Mercy Medical Center Current Accepting new patients
St Joseph Hospital of Nashua NH Current
since Sep 15, 2019
Accepting new patients
Concord Hospital, Inc. Current
since Oct 1, 2020
Accepting new patients
St Joseph Hospital of Nashua NH Family Medicine Current
since Sep 15, 2019
Accepting new patients
Piedmont Athens Hospitalist Physicians LLC Current
since Aug 1, 2020
Accepting new patients
Meritas Health Corporation Family Medicine Current Accepting new patients
Benefis Hospitals Inc Current
since Jan 1, 2020
Accepting new patients
Good Samaritan Hospital Medical Current
since Oct 22, 2018
Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Virtual Neurology Kansas, LLC Neurology Current
since Sep 14, 2024
Accepting new patients
Lee Memorial Health System Family Medicine Current
since Apr 15, 2020
Accepting new patients
Legacy Clinics LLC Family Medicine Current
since Sep 24, 2018
Accepting new patients
Telespecialists North Carolina Neurology Services PLLC Neurology Current
since Jun 20, 2023
Accepting new patients
Silverton Health Current Accepting new patients
Baptist Health Medical Group Inc Current
since Oct 1, 2022
Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Family Medicine Current
since Aug 1, 2020
Accepting new patients
Virtual Neurology PC Neurology Current
since Mar 17, 2024
Accepting new patients
Mercy Medical Center Current
since Aug 1, 2023
Accepting new patients
St. Alexius Medical Center Current
since Apr 10, 2018
Accepting new patients
Carolinas Physicians Network Inc Current
since Jul 5, 2021
Accepting new patients
Carolinas Medical Center Current
since Jul 5, 2021
Accepting new patients
Lehigh Valley Physician Group Family Medicine Current
since Oct 27, 2022
Accepting new patients
Piedmont Hospitalist Physicians LLC Family Medicine Current
since Aug 1, 2020
Accepting new patients
Altru Health System Current
since Apr 16, 2018
Accepting new patients
Legacy Salmon Creek Hospital Current
since Apr 8, 2021
Accepting new patients
Upson Medical Associates LLC Family Medicine Current
since Oct 21, 2024
Accepting new patients
Silverton Health Current
since Apr 20, 2023
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

  • Direct secure messaging: csombutmai573277@direct.emplifyhealth.org
  • Direct secure messaging: csombutmai499800@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: csombutmai33042@lakeland.midirect.net
  • Direct secure messaging: csombutmai4030666@direct.trinity-health.org
  • Direct secure messaging: csombutmai230547@santaclaravalley.direct-ci.net
  • Direct secure messaging: csombutmai71864@epicdirect.hf.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3115195MedicaidNH

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address csombutmai604385@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Other providers in Fort Myers, FL

All providers in Fort Myers, FL · Neurology Physician in Florida

Sources for this page

Verify at the official NPI Registry.