NPIMap

Organization Active NPI

Innovative Infusions, LLC.

  • Infusion Therapy Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1699428490
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
INNOVATIVE INFUSIONS, LLC.
Practice address
16421 Corporate Commerce Way Ste 106
Fort Myers, FL 33913-8267
Phone
(210) 347-7459
NPI assigned
Feb 1, 2022
Organization subpart
Yes
Parent organization
INNOVATIVE INFUSIONS, LLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Nicholas Daniel Maroulis
Title
Vice President
Phone
(689) 263-5021

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 106

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 106

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220901002445 FL Part B Supplier - Clinic/Group Practice 6608054044 Receives reassigned benefits from 18 practitioners
4 other NPIs on this enrollment
Practice locations: Cape Coral, FL; Clearwater, FL; Fort Myers, FL; Naples, FL; Sarasota, FL

National Provider Directory

National Provider Directory
Tax ID family
Innovative Infusions LLC21 organizations share this tax ID, including this one
Part of
Innovative Infusions LLC

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

16421 Corporate Commerce Way
Ste 106
Fort Myers, FL 33913
Phone (210) 347-7459

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

NPPES NPI Registry

Primary practice location

16421 Corporate Commerce Way Ste 106
Fort Myers, FL 33913-8267

Mailing address

3033 W President George Bush Hwy Ste 100B
Plano, TX 75075-5885
Phone (210) 347-7459

Other names 1

NPPES NPI Registry
  • Paragon Infusion Centers Doing business as

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address Licensingteam@paragonhealthcare.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 5, 2026.

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1699428490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W PRESIDENT GEORGE BUSH HWY STE 100B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755885",
            "telephone_number": "210-347-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16421 CORPORATE COMMERCE WAY STE 106",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138267",
            "telephone_number": "210-347-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE INFUSIONS, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE INFUSIONS, LLC",
        "enumeration_date": "2022-02-01",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "MAROULIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "689-263-5021"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Licensingteam@paragonhealthcare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16421 Corporate Commerce Way Ste 106",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339138267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Paragon Infusion Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paragon Infusion Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.