Individual provider Active NPI

Albert G Alessi, D.O.

  • Family Medicine Physician
  • Bonita Springs, FL
National Provider Identifier
1689743890
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7094 Issued in FL
Practice address
9400 Bonita Beach Rd SE Ste 102
Bonita Springs, FL 34135-4515
Phone
(239) 992-5444
Fax
(239) 992-1315
NPI assigned
Nov 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS7094 FL Primary

Addresses

Primary practice location

9400 Bonita Beach Rd SE Ste 102
Bonita Springs, FL 34135-4515

Mailing address

677 Myrtle Rd
Naples, FL 34108-2677
Phone (239) 593-8618

Other identifiers 1

IdentifierTypeStateIssuer
OS7094OtherFLMEDICAL LIC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080408000492 FL Practitioner - Family Practice 1052496544

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS7094FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert P. Fedor, D.O.P.a Family Medicine PastSince May 25, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Bonita Family Care, Inc Family Medicine PastSince Jul 1, 2000 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689743890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 MYRTLE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082677",
            "telephone_number": "239-593-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 BONITA BEACH RD SE STE 102",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354515",
            "telephone_number": "239-992-5444",
            "fax_number": "239-992-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALESSI",
        "first_name": "ALBERT",
        "middle_name": "G",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC",
            "identifier": "OS7094",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.