Individual provider Active NPI

Jacques J Lamothe, MD

  • Cardiovascular Disease Physician
  • Fort Pierce, FL
National Provider Identifier
1679673057
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
20494 Issued in AZ
Practice address
1900 Nebraska Ave Ste 9
Fort Pierce, FL 34950-4837
Phone
(772) 465-4499
Fax
(772) 466-0832
NPI assigned
Sep 25, 2006
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 20494 AZ Primary
Cardiovascular Disease Physician 207RC0000X 7158 NV
Cardiovascular Disease Physician 207RC0000X ME140644 FL
Hospitalist Physician 208M00000X ME140644 FL

Addresses

Primary practice location

1900 Nebraska Ave Ste 9
Fort Pierce, FL 34950-4837

Mailing address

4285 SE Frazier CT
Stuart, FL 34997-5679
Phone (702) 523-7599

Other practice location 1

708 Del Prado Blvd S Ste 7
Cape Coral, FL 33990-2676
Phone (239) 424-3660

Other identifiers 2

IdentifierTypeStateIssuer
129552900MedicaidFL
1679673057MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, FL, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040729001484 NV Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 5991775561
I20190628002961 FL Practitioner - Cardiovascular Disease (Cardiology) 5991775561 Reassigns benefits to 5 organizations
I20220216000485 AZ Practitioner - Cardiovascular Disease (Cardiology) 5991775561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Ottawa, Faculty of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-2606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME140644FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc CurrentSince Nov 18, 2019 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Nov 18, 2019 Accepting new patients
Lee Memorial Health System CurrentSince May 23, 2022 Accepting new patients
Kingman Healthcare, Inc Cardiovascular Disease Current Accepting new patients
St Vincents Ambulatory Care Inc Cardiovascular Disease CurrentSince Mar 11, 2024 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Mar 11, 2024 Accepting new patients
Kingman Healthcare, Inc Cardiovascular Disease CurrentSince Mar 1, 2022 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Florida Heart Center, PA Cardiovascular Disease CurrentSince Jun 11, 2019 Accepting new patients
Lee Memorial Health System CurrentSince May 23, 2022 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Kingman Healthcare, Inc CurrentSince Mar 1, 2022 Accepting new patients
Intermountain Medical Holding Nevada, Inc. CurrentSince Mar 9, 2020 Accepting new patients
Lee Memorial Health System Current Accepting new patients
C Allen Rhodes MD Chartered Cardiovascular Disease Past Accepting new patients
Intermountain Medical Holdings Nevada Inc Hospitalist Past Accepting new patients
Kingman Healthcare, Inc PastSince Mar 1, 2022 Accepting new patients

Locations

1739 E Beverly Ave
Ste 214
Kingman, AZ 86409
Phone (928) 681-8734

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

708 Del Prado Blvd S
Ste 7
Cape Coral, FL 33990
Phone (239) 424-3660

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

16261 Bass Rd
Ste 300
Fort Myers, FL 33908
Phone (239) 274-8866

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

8960 Colonial Center Dr
Ste 300
Fort Myers, FL 33905
Phone (239) 343-9470

8960 Colonial Center Dr
Ste 302
Fort Myers, FL 33905
Phone (239) 343-9633

9800 S Healthpark Dr
Ste 320
Fort Myers, FL 33908
Phone (239) 343-6350

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

1900 Nebraska Ave
Ste 9
Fort Pierce, FL 34950
Phone (561) 465-4499

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

1631 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (561) 857-7777

1631 NW Saint Lucie West Blvd
Ste 102103
Port St Lucie, FL 34986

1001 SE Ocean Blvd
Ste 105
Stuart, FL 34996
Phone (772) 220-8912

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

3725 11th Cir
Vero Beach, FL 32960
Phone (772) 410-0155

3131 La Canada St
Ste 140
Las Vegas, NV 89169
Phone (702) 933-9400

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jacques.lamothe@cernerdirect.coxhealth.com
  • Direct secure messaging: jlamothe10400@direct.umcsn.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1679673057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4285 SE FRAZIER CT",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975679",
            "telephone_number": "702-523-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NEBRASKA AVE STE 9",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504837",
            "telephone_number": "772-465-4499",
            "fax_number": "772-466-0832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 Del Prado Blvd S Ste 7",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339902676",
            "country_code": "US",
            "telephone_number": "239-424-3660",
            "fax_number": "239-343-4153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMOTHE",
        "first_name": "JACQUES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "20494",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "7158",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME140644",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME140644",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129552900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679673057",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.