Active NPI
Adam Lee Heller, MD
- Neurology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME100599
- Practice address
- 11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206 - Phone
- (239) 208-2212
- Fax
- (239) 208-3994
- NPI assigned
- Jun 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 28703 | NE | |
| Neurology Physician | 2084N0400X | 057372 | GA | |
| Neurology Physician | 2084N0400X | TM00626 | TX | |
| Neurology Physician | 2084N0400X | 35.125483 | OH | |
| Neurology Physician | 2084N0400X | 4301108303 | MI | |
| Neurology Physician | 2084N0400X | 51221 | AZ | |
| Neurology Physician | 2084N0400X | 24286 | MS | |
| Neurology Physician | 2084N0400X | 17306 | NH | |
| Neurology Physician | 2084N0400X | 13996 | ND | |
| Neurology Physician | 2084N0400X | MD171346 | OR | |
| Neurology Physician | 2084N0400X | ME100599 | FL | Primary |
Addresses
Primary practice location
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Mailing address
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3112981 | Medicaid | NH | |
| 000313300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51221 | AZ | MD | Neurology Physician |
| ME100599 | FL | MD | Neurology Physician |
| 057372 | GA | MD | Neurology Physician |
| 24286 | MS | MD | Neurology Physician |
| 28703 | NE | MD | Neurology Physician |
| 17306 | NH | MD | Neurology Physician |
| MD171346 | OR | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtual Neurology, LLC | Neurology | Current | Accepting new patients |
| Legacy Clinics LLC | Family Medicine | Current | Accepting new patients |
| Piedmont Athens Specialty Care LLC | Past | Accepting new patients | |
| Clinic Pharmacy Inc | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206
9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206
11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206
24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
Interoperability endpoints
- aheller32897@lakeland.midirect.net
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.
-
- Neurology Physician
- Fort Myers, FL
- NPI 1760940167
-
- Community/Retail Pharmacy
- Devils Lake, ND
- NPI 1184718876
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1184130627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1710183041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11215 METRO PKWY STE 1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339661206",
"telephone_number": "239-208-2212",
"fax_number": "239-208-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11215 METRO PKWY STE 1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339661206",
"telephone_number": "239-208-2212",
"fax_number": "239-208-3994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "ADAM",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-24",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NE",
"license": "28703",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "057372",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "TM00626",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35.125483",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301108303",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AZ",
"license": "51221",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MS",
"license": "24286",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NH",
"license": "17306",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "ND",
"license": "13996",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OR",
"license": "MD171346",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME100599",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3112981",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000313300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.