Individual provider Active NPI

Michael Lacorte, MD

  • Pediatric Cardiology Physician
  • Fort Myers, FL
National Provider Identifier
1710082821
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
ME111609 Issued in FL
Practice address
16281 Bass Rd Ste 304
Fort Myers, FL 33908-9687
Phone
(239) 343-7490
Fax
(239) 343-5032
NPI assigned
Sep 13, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X ME111609 FL Primary

Addresses

Primary practice location

16281 Bass Rd Ste 304
Fort Myers, FL 33908-9687

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-7490

Other practice location 1

5741 Bee Ridge Rd Ste 540
Sarasota, FL 34233-5061
Phone (941) 377-6200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlacorte64090@Direct.leememorial.org Lee Memorial Health System

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
I20120412000408 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 7315924099 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Memorial Health System CurrentSince Apr 1, 2017 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Apr 1, 2017 Accepting new patients
St John's Medical Services PC Past Accepting new patients

Locations

26800 Tamiami Trl
Ste 340
Bonita Springs, FL 34134
Phone (239) 495-4490

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

16281 Bass Rd
Ste 304
Fort Myers, FL 33908
Phone (239) 343-7490

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

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mlacorte64090@direct.leememorial.org

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, 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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1710082821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-7490",
            "fax_number": "239-343-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16281 BASS RD STE 304",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089687",
            "telephone_number": "239-343-7490",
            "fax_number": "239-343-5032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5741 Bee Ridge Rd Ste 540",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342335061",
            "country_code": "US",
            "telephone_number": "941-377-6200",
            "fax_number": "941-377-6505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACORTE",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "ME111609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlacorte64090@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "Lee Memorial Health System",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.