Organization Active NPI

Kalemeris & Babbin MD PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Fort Myers, FL
National Provider Identifier
1730701681
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
KALEMERIS & BABBIN MD PA
Practice address
1620 Medical LN Ste 120
Fort Myers, FL 33907-1143
Phone
(813) 490-7206
Fax
(813) 886-6655
NPI assigned
May 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
George C Kalemeris, MDNPI 1407835234
Title
President
Phone
(813) 490-7206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

1620 Medical LN Ste 120
Fort Myers, FL 33907-1143

Mailing address

5755 Hoover Blvd
Tampa, FL 33634-5340
Phone (813) 490-7206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200818001015 FL Part B Supplier - Clinic/Group Practice 5294151502 Receives reassigned benefits from 2 practitioners
Practice locations: Lehigh Acres, FL

National Provider Directory

National Provider Directory

Locations

1620 Medical Ln
Ste 120
Fort Myers, FL 33907
Phone (239) 689-8581

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1730701681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 HOOVER BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345340",
            "telephone_number": "813-490-7206",
            "fax_number": "813-886-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MEDICAL LN STE 120",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071143",
            "telephone_number": "813-490-7206",
            "fax_number": "813-886-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEMERIS & BABBIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "KALEMERIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-490-7206",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.