NPIMap

Individual provider Active NPI

Reynald C Allam, MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Naples, FL
National Provider Identifier
1831293141
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
ME68021 Issued in FL
Practice address
1285 Creekside Blvd E Unit 104
Naples, FL 34109-0595
Phone
(239) 624-0630
Fax
(239) 624-0631
NPI assigned
Sep 8, 2006
Last updated
Nov 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME68021 FL
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X ME68021 FL Primary

Addresses

Primary practice location

1285 Creekside Blvd E Unit 104
Naples, FL 34109-0595

Mailing address

1285 Creekside Blvd E Unit 104
Naples, FL 34109-0595
Phone (239) 624-0630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040228000535 FL Practitioner - Preventive MedicinePractitioner - Internal Medicine 2860389475 Reassigns benefits to 1 organization
Practice locations: Clearwater, FL

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
State University of Ny Upstate Medical University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

1285 Creekside Blvd E
Unit 102
Naples, FL 34109-0595
Phone (239) 624-8250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue889
Removal of skin lesions43
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME68021FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Dec 15, 2017 Accepting new patients
Nchmd Inc CurrentSince Dec 15, 2017 Accepting new patients
E R Stat Inc PastSince Jun 25, 2023 Accepting new patients

Locations

1285 Creekside Blvd E
Unit 102
Naples, FL 34109
Phone (239) 624-0310

1285 Creekside Blvd E
Unit 104
Naples, FL 34109
Phone (239) 624-0630

399 Tamiami Trl N
Ste 300
Naples, FL 34102
Phone (239) 624-4200

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

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rallam22651@nchhealthcaresystem.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1831293141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 CREEKSIDE BLVD E UNIT 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090595",
            "telephone_number": "239-624-0630",
            "fax_number": "239-624-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 CREEKSIDE BLVD E UNIT 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090595",
            "telephone_number": "239-624-0630",
            "fax_number": "239-624-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAM",
        "first_name": "REYNALD",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME68021",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME68021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.