Individual provider Active NPI

Galo F Constante, MD

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1790768463
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME83307 Issued in FL
Practice address
12400 Brantley Commons CT
Suite 1
Fort Myers, FL 33907-5663
Phone
(239) 275-9040
Fax
(239) 275-9070
NPI assigned
Nov 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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 ME83307 FL Primary

Addresses

Primary practice location

12400 Brantley Commons CT
Suite 1
Fort Myers, FL 33907-5663

Mailing address

12400 Brantley Commons CT
Fort Myers, FL 33907-5677
Phone (239) 275-9040

Other identifiers 1

IdentifierTypeStateIssuer
262375700MedicaidFL

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
I20090501000044 FL Practitioner - Internal Medicine 7618025628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12400 Brantley Commons CT
Fort Myers, FL 33907-5677
Phone (239) 275-9040

Hospital & facility affiliations

  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME83307FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galo Constante MD PA CurrentSince Jan 29, 2009 Accepting new patients

Locations

12400 Brantley Commons Ct
Fort Myers, FL 33907
Phone (239) 265-3451

12400 Brantley Commons Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 275-9040

12400 Brantley Commons Ct
Ste 1
Fort Myers, FL 33907
Phone (239) 275-9040

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.

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": "1133049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1790768463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 BRANTLEY COMMONS CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075677",
            "telephone_number": "239-275-9040",
            "fax_number": "239-275-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 BRANTLEY COMMONS CT",
            "address_2": "SUITE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075663",
            "telephone_number": "239-275-9040",
            "fax_number": "239-275-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTE",
        "first_name": "GALO",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-27",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME83307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262375700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.