Individual provider Active NPI

Javier Fleites, PA-C

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1699420059
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9115508 Issued in FL
Practice address
12995 S Cleveland Ave Ste 184
Fort Myers, FL 33907-7703
Phone
(239) 226-2727
Fax
(233) 993-9987
NPI assigned
Feb 15, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9115508 FL Primary

Addresses

Primary practice location

12995 S Cleveland Ave Ste 184
Fort Myers, FL 33907-7703

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other practice location 1

5567 Coronado Pkwy Apt B
Naples, FL 34116-5782
Phone (239) 601-5980

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220309001984 FL Practitioner - Physician Assistant 0749675759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians

Practice addresses (Care Compare)

1206 Country Club Blvd
Cape Coral, FL 33990-2180
Phone (239) 226-2727

12995 S Cleveland Ave
Fort Myers, FL 33907-3890
Phone (239) 758-7465

13691 Metro Pkwy
Suite 300
Fort Myers, FL 33912-4322
Phone (239) 291-6970

9400 Bonita Beach Rd SE
Suite 102
Bonita Springs, FL 34135-4520
Phone (239) 226-2727

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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.

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": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1699420059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774",
            "fax_number": "239-939-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12995 S CLEVELAND AVE STE 184",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077703",
            "telephone_number": "239-226-2727",
            "fax_number": "233-993-9987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5567 Coronado Pkwy Apt B",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341165782",
            "country_code": "US",
            "telephone_number": "239-601-5980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEITES",
        "first_name": "JAVIER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.