Individual provider Active NPI

Matthew Jordan Denunzio, M.D.

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1760826499
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME126025 Issued in FL
Practice address
599 9TH St N
Ste 308
Naples, FL 34102-5627
Phone
(239) 643-7888
Fax
(239) 643-4744
NPI assigned
Apr 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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 ME126025 FL Primary

Addresses

Primary practice location

599 9TH St N
Ste 308
Naples, FL 34102-5627

Mailing address

599 9TH St N
Ste 308
Naples, FL 34102-5627
Phone (239) 643-7888

Other identifiers 3

IdentifierTypeStateIssuer
017750400MedicaidFL
5LYDTOtherFLBCBS
IQ306ZOtherFLMEDICARE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160812002038 FL Practitioner - HospitalistPractitioner - Internal Medicine 3072735604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WVL Synergy Medical Services, LLCGroup PAC ID 4688915085, 3 clinicians

Practice addresses (Care Compare)

599 9TH St N
Suite 211
Naples, FL 34102-5625
Phone (239) 643-7888

Hospital & facility affiliations

  • Naples Community Hospital Hospital, Naples, FL, CCN 100018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME126025FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WVL Synergy Medical Services, LLC Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Nchmd, Inc CurrentSince Jul 1, 2016 Accepting new patients
Nchmd Inc Current Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Jul 1, 2016 Accepting new patients

Locations

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

599 9th St N
Ste 308
Naples, FL 34102
Phone (239) 423-7139

599 9th St N
Ste 211
Naples, FL 34102
Phone (239) 263-8001

Interoperability endpoints

  • Direct secure messaging: mdenunzio22795@nchhealthcaresystem.direct-ci.com

Organizations & group practices 4

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 1

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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1760826499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 9TH ST N",
            "address_2": "STE 308",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025627",
            "telephone_number": "239-643-7888",
            "fax_number": "239-643-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 9TH ST N",
            "address_2": "STE 308",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025627",
            "telephone_number": "239-643-7888",
            "fax_number": "239-643-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENUNZIO",
        "first_name": "MATTHEW",
        "middle_name": "JORDAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2023-09-08",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME126025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017750400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5LYDT",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IQ306Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.