Individual provider Active NPI

Abbott Kagan II, M.D.

  • Orthopaedic Surgery Physician
  • Alva, FL
National Provider Identifier
1730151267
Registry record updated Nov 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0020746 Issued in FL
Practice address
18741 S River Rd
Alva, FL 33920-3643
Phone
(239) 851-2449
Fax
(855) 710-4433
NPI assigned
Feb 7, 2006
Last updated
Nov 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X ME20746 FL
Orthopaedic Surgery Physician 207X00000X ME0020746 FL Primary

Addresses

Primary practice location

18741 S River Rd
Alva, FL 33920-3643

Mailing address

18741 S River Rd
Alva, FL 33920-3643
Phone (239) 851-2449

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
I20100720000577 FL Practitioner - Orthopedic Surgery 2062305477 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0020746FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abbott Kagan II, M.D., P.a. Orthopaedic Surgery CurrentSince Sep 22, 1997 Accepting new patients

Locations

8710 College Pkwy
Fort Myers, FL 33919
Phone (239) 482-8788

Interoperability endpoints

  • Direct secure messaging: abbottkagan@akosm.allscriptsdirect.net

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, 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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637366400000",
    "number": "1730151267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18741 S RIVER RD",
            "city": "ALVA",
            "state": "FL",
            "postal_code": "339203643",
            "telephone_number": "239-851-2449",
            "fax_number": "855-710-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18741 S RIVER RD",
            "city": "ALVA",
            "state": "FL",
            "postal_code": "339203643",
            "telephone_number": "239-851-2449",
            "fax_number": "855-710-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGAN",
        "first_name": "ABBOTT",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "FL",
            "license": "ME20746",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0020746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alva, FL

Sources for this page

Verify at the official NPI Registry.