Active NPI
Associates in Digestive Health LLC
- Gastroenterology Physician
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- ASSOCIATES IN DIGESTIVE HEALTH LLC
- Practice address
- 625 Del Prado Blvd S
Cape Coral, FL 33990-2667 - Phone
- (239) 772-3636
- Fax
- (239) 772-5073
- NPI assigned
- Oct 23, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kris Breyley, RN
- Title
- Practice Administrator
- Phone
- (239) 772-3636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | FL | Primary |
Addresses
Primary practice location
625 Del Prado Blvd S
Cape Coral, FL 33990-2667
Mailing address
625 Del Prado Blvd S
Cape Coral, FL 33990-2667
Phone (239) 772-3636
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7519547 | Other | FL | AETNA |
| 269648700 | Medicaid | FL | |
| 45406 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040329001722 | FL | Part B Supplier - Clinic/Group Practice | 8628960937 |
Receives reassigned benefits from 92 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cape Coral, FL; Tampa, FL; Orange City, FL; Naples, FL; Lake Mary, FL; Fort Myers, FL; Deland, FL; Bonita Springs, FL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1154304087
O20040329001722
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Atlanta Gastroenterology Associates
- Gastroenterology Physician
- Atlanta, GA
- NPI 1124064118
Member Of
Locations
101 Riverfront Blvd
Ste 700
Bradenton, FL 34205
Phone (941) 748-2417
2721 Del Prado Blvd S
Ste 200
Cape Coral, FL 33904
Phone (239) 458-6677
625 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 574-3323
625 Del Prado Blvd S
Ste 200
Cape Coral, FL 33990
Phone (239) 772-3636
665 Del Prado Blvd S
Ste 1
Cape Coral, FL 33990
Phone (239) 772-3636
929 N Spring Garden Ave
Ste 150
Deland, FL 32720
Phone (386) 339-2692
900 Pine St
Ste 212
Englewood, FL 34223
13051 University Dr
Ste 101
Fort Myers, FL 33907
Phone (239) 433-3636
1620 Medical Ln
#150C
Fort Myers, FL 33907
Phone (239) 939-4604
417A Racetrack Rd NW
Ste 2
Ft Walton Bch, FL 32547
Phone (850) 863-5990
1217 S East Ave
Ste 210
Sarasota, FL 34239
Phone (941) 366-4015
Practitioners & affiliated clinicians
Practitioners 41
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Orange City, FL
- NPI 1942604798
-
- Gastroenterology Physician
- Tampa, FL
- NPI 1790238269
-
- Adult Health Nurse Practitioner
- Tampa, FL
- NPI 1760715569
-
- Gastroenterology Physician
- Orange City, FL
- NPI 1962079418
-
- Gastroenterology Physician
- Orange City, FL
- NPI 1003279761
-
- Nurse Practitioner
- Tampa, FL
- NPI 1902271331
-
- Gastroenterology Physician
- Orange City, FL
- NPI 1407397656
-
- Gastroenterology Physician
- Orange City, FL
- NPI 1255449179
-
- Gastroenterology Physician
- Orange City, FL
- NPI 1538873062
-
- Gastroenterology Physician
- Orange City, FL
- NPI 1497531420
-
- Gastroenterology Physician
- Orange City, FL
- NPI 1093261562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1790868099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339902667",
"telephone_number": "239-772-3636",
"fax_number": "239-772-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339902667",
"telephone_number": "239-772-3636",
"fax_number": "239-772-5073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATES IN DIGESTIVE HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BREYLEY",
"authorized_official_first_name": "KRIS",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "239-772-3636",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7519547",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269648700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "45406",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.