Organization Active NPI

Element Medical of Cape Coral LLC

  • General Practice Physician
  • Cape Coral, FL
National Provider Identifier
1679467179
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ELEMENT MEDICAL OF CAPE CORAL LLC
Practice address
822 Del Prado Blvd S Ste 120
Cape Coral, FL 33990-2687
Phone
(239) 308-1006
Fax
(239) 308-1007
NPI assigned
Jun 7, 2025
Last updated
Jun 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2025

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

Authorized official

Name
Dr. David Phillips, DONPI 1194165688
Title
Physician
Phone
(239) 308-1006

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
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

822 Del Prado Blvd S Ste 120
Cape Coral, FL 33990-2687

Mailing address

2637 E Atlantic Blvd # 1385
Pompano Beach, FL 33062-4939
Phone (239) 308-1006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251002005108 FL Part B Supplier - Clinic/Group Practice 6507362092 Receives reassigned benefits from 1 practitioner
Practice locations: Cape Coral, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2322086Element Medical of Cape Coral LLC822 Del Prado Blvd S, Ste 120, Cape Coral, FL 33990Certificate of waiverApr 14, 2027

National Provider Directory

National Provider Directory

Locations

822 Del Prado Blvd S
Ste 120
Cape Coral, FL 33990
Phone (239) 308-1006

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDGHDD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1749254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749254400000",
    "number": "1679467179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 E ATLANTIC BLVD # 1385",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624939",
            "telephone_number": "239-308-1006",
            "fax_number": "239-308-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 DEL PRADO BLVD S STE 120",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902687",
            "telephone_number": "239-308-1006",
            "fax_number": "239-308-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENT MEDICAL OF CAPE CORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-07",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "239-308-1006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.