Individual provider Active NPI

Britto Chinnappan, MD

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1750477709
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME85496 Issued in FL
Practice address
9671 Gladiolus Dr
Unit 107
Fort Myers, FL 33908-7684
Phone
(239) 418-1118
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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 ME85496 FL Primary

Addresses

Primary practice location

9671 Gladiolus Dr
Unit 107
Fort Myers, FL 33908-7684

Mailing address

9671 Gladiolus Dr
Unit 107
Fort Myers, FL 33908-7684
Phone (239) 418-1118

Other identifiers 1

IdentifierTypeStateIssuer
269544800MedicaidFL

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
I20040607001626 FL Practitioner - Internal Medicine 0749263267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9671 Gladiolus Dr
Suite 107
Fort Myers, FL 33908-7684
Phone (239) 418-1118

Hospital & facility affiliations

  • Amity Associates LLC Home health agency, Fort Myers, FL, CCN 687248
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Gulf Internal Medicine PA Internal Medicine CurrentSince Dec 1, 2006 Accepting new patients
Cogent Healthcare of Fort Myers, LLC Internal Medicine Past Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

9671 Gladiolus Dr
Ste 107
Fort Myers, FL 33908
Phone (239) 418-1118

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBDHAD
  • Direct secure messaging: britto.chinnappan.1@33946.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1750477709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9671 GLADIOLUS DR",
            "address_2": "UNIT 107",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087684",
            "telephone_number": "239-418-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9671 GLADIOLUS DR",
            "address_2": "UNIT 107",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087684",
            "telephone_number": "239-418-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINNAPPAN",
        "first_name": "BRITTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME85496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269544800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.