Individual provider Active NPI

Carolyn Beth Messere, MD

  • General Practice Physician
  • Naples, FL
National Provider Identifier
1700878642
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME93472 Issued in FL
Practice address
4280 Tamiami TRL E Ste 102
Naples, FL 34112-6705
Phone
(239) 774-5433
Fax
(239) 774-5409
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME93472 FL Primary

Addresses

Primary practice location

4280 Tamiami TRL E Ste 102
Naples, FL 34112-6705

Mailing address

4280 Tamiami TRL E Ste 102
Naples, FL 34112-6705
Phone (239) 774-5433

Other names 1

  • Dr. Carolyn Beth Cirello Former name

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
I20180316002344 FL Order and Referring Only - General PracticePractitioner - General Practice 3971536616

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestrength Family Chiropractic, PLLC CurrentSince Apr 26, 2020 Accepting new patients
Robbins Chiropractic, LLC CurrentSince Apr 26, 2020 Accepting new patients
Borland Groover Clinic, PA Colon & Rectal Surgery PastSince Aug 15, 2023 Accepting new patients
Integrative Surgery Colon & Rectal Surgery PastSince Nov 14, 2010 Accepting new patients
Jax Anesthesia Providers LLC PastSince Jun 12, 2006 Accepting new patients

Locations

4280 Tamiami Trl E
Ste 102
Naples, FL 34112
Phone (239) 774-5433

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1700878642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 TAMIAMI TRL E STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126705",
            "telephone_number": "239-774-5433",
            "fax_number": "239-774-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 TAMIAMI TRL E STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126705",
            "telephone_number": "239-774-5433",
            "fax_number": "239-774-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSERE",
        "first_name": "CAROLYN",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME93472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "CIRELLO",
            "middle_name": "BETH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.