Joseph Nicotra, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME0057051 Issued in FL

Practice address

12511 World Plaza LN BLDG 50
Fort Myers, FL 33907-3991

Phone

(239) 939-2622

Fax

(239) 939-0151

NPI assigned

Jan 20, 2006

Last updated

Feb 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anesthesia & Pain Consultants of SW FL

  • Specialist
  • Fort Myers, FL
  • NPI 1609843275
  Medicare reassignment NPD
• FMFL Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
  • NPI 1871127134
  NPD

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1659351112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 SE 21ST PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339043275",
            "telephone_number": "239-939-2622",
            "fax_number": "239-939-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12511 WORLD PLAZA LN BLDG 50",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073991",
            "telephone_number": "239-939-2622",
            "fax_number": "239-939-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOTRA",
        "first_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME0057051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062485300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050029598",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS FL",
            "identifier": "09960",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "223500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Nickens, D.C.
• Diane Nicolette
• Tricia Lynne Nicolette, MS, CCC-SLP
• Debra E. Nicolosi
• Kelly Marie Nicolosi, OTR
• Samantha Elizabeth Nicotra
• Alexis Lauren Niemann
• Gabriel Nieto
• Xariana Nieto
• Alberto Arcenio Nieves Sanchez

• Anesthesiology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.