Active NPI
Michel E Saaloukeh, MD
- Pediatrics Physician
- Bonita Springs, FL
National Provider Identifier
1730117698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME105523
- Practice address
- 9400 Bonita Beach Rd SE Ste 204
Bonita Springs, FL 34135-4520 - Phone
- (239) 422-6020
- NPI assigned
- Jun 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | ME105523 | FL | |
| Pediatrics Physician | 208000000X | ME105523 | FL | Primary |
Addresses
Primary practice location
9400 Bonita Beach Rd SE Ste 204
Bonita Springs, FL 34135-4520
Mailing address
2338 Immokalee Rd Ste 203
Naples, FL 34110-1445
Phone (239) 919-4342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000991800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME105523 | FL | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essco Naples LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AHAICD/Endpoint/AHAICD
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Bonita Springs, FL
- NPI 1659023240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1730117698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2338 IMMOKALEE RD STE 203",
"city": "NAPLES",
"state": "FL",
"postal_code": "341101445",
"telephone_number": "239-919-4342",
"fax_number": "239-919-4342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 BONITA BEACH RD SE STE 204",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341354520",
"telephone_number": "239-422-6020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAALOUKEH",
"first_name": "MICHEL",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "FL",
"license": "ME105523",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME105523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000991800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bonita Springs, FL
- Michael Emmanuel Rubino, DPT, MTC
- Paul Scott Rubinton, M.D.
- Avidah H Rudberg, M.D.
- Phyllis June Russo, MSN, ARNP, GCNS-BC
- Anamaria Ryan
- Malorie Nicole Saccomani, NP
- Ardalan Sadeghi Amini, PHYSICAL THERAPIST
- Safari Smiles Children Dentistry, LLC
- Sage Dental of Bonita Springs, PLLC
- Patti Lynn Sages, DVM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.