Individual provider Active NPI

Rafael Climaco, M.D.

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1720058902
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME49973 Issued in FL
Practice address
9470 Healthpark Cir
Fort Myers, FL 33908-3600
Phone
(239) 482-4673
Fax
(239) 482-7298
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME49973 FL Primary

Addresses

Primary practice location

9470 Healthpark Cir
Fort Myers, FL 33908-3600

Mailing address

9470 Healthpark Cir
Fort Myers, FL 33908-3600
Phone (239) 482-4673

Other identifiers 2

IdentifierTypeStateIssuer
087535000MedicaidFL
378848200MedicaidFL

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
I20040816000883 FL Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - General Practice 4587637822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Department of HealthGroup PAC ID 3072424282, 126 clinicians

Practice addresses (Care Compare)

3920 Michigan Ave
Fort Myers, FL 33916-2205
Phone (239) 461-6119

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Apr 16, 2014 Accepting new patients
Florida Department of Health CurrentSince Apr 16, 2014 Accepting new patients
Hope Hospice and Community Services, Inc CurrentSince Mar 25, 2012 Accepting new patients

Locations

9470 Healthpark Cir
Fort Myers, FL 33908
Phone (239) 433-8073

3920 Michigan Ave
Fort Myers, FL 33916
Phone (239) 332-9501

16131 Roserush Ct
Fort Myers, FL 33908
Phone (239) 343-7300

2295 Victoria Ave
Fl 2
Fort Myers, FL 33901
Phone (239) 332-9568

83 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 461-6100

20545 Center Ridge Rd
Ste 116
Rocky River, OH 44116
Phone (440) 333-6545

Organizations & group practices 3

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1720058902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9470 HEALTHPARK CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083600",
            "telephone_number": "239-482-4673",
            "fax_number": "239-482-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 HEALTHPARK CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083600",
            "telephone_number": "239-482-4673",
            "fax_number": "239-482-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIMACO",
        "first_name": "RAFAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME49973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087535000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378848200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.