Organization Active NPI

Cag Medical Services Inc

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1811222797
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME92387 Issued in FL
Legal business name
CAG MEDICAL SERVICES INC
Practice address
1415 Mariposa Cir
Suite 204
Naples, FL 34105-7272
Phone
(239) 560-1655
Fax
(239) 793-3822
NPI assigned
Oct 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Dr. Clifford Alan Greenberg, MDNPI 1366476632
Title
President
Phone
(239) 560-1655

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME92387 FL Primary

Addresses

Primary practice location

1415 Mariposa Cir
Suite 204
Naples, FL 34105-7272

Mailing address

1415 Mariposa Cir
Suite 204
Naples, FL 34105-7272
Phone (239) 560-1655

Other identifiers 1

IdentifierTypeStateIssuer
ME92387OtherFLMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100201000563 FL Part B Supplier - Clinic/Group Practice 8224171152 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1811222797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MARIPOSA CIR",
            "address_2": "SUITE 204",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341057272",
            "telephone_number": "239-560-1655",
            "fax_number": "239-793-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MARIPOSA CIR",
            "address_2": "SUITE 204",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341057272",
            "telephone_number": "239-560-1655",
            "fax_number": "239-793-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAG MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-560-1655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME92387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME92387",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.