Individual provider Active NPI

Mark Xuemin Xie Norleans, MD, PHD

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1841211208
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME86281 Issued in FL
Practice address
9730 Commerce Center CT
Fort Myers, FL 33908-3615
Phone
(239) 482-5003
Fax
(239) 989-0166
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 ME86281 FL Primary

Addresses

Primary practice location

9730 Commerce Center CT
Fort Myers, FL 33908-3615

Mailing address

9730 Commerce Center CT
Fort Myers, FL 33908-3615
Phone (239) 482-5003

Other identifiers 3

IdentifierTypeStateIssuer
ME86281OtherFLMEDICAL LICENSE
P00017745OtherFLRAILROAD MEDICARE
42157574886OtherTAX ID

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
I20061211000051 FL Practitioner - Internal Medicine 1153320601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vijay Ganatra M D P aGroup PAC ID 4880727866, 12 clinicians

Practice addresses (Care Compare)

13770 Plantation Rd
Suite 4
For Myers, FL 33921-4460
Phone (239) 561-6263

9730 Commerce Ctr Court
Fort Myers, FL 33908-3615

9730 Commerce Ctr CT
Fort Myers, FL 33908-3615
Phone (239) 244-2070

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mark X Norleans MD PHD PA Internal Medicine CurrentSince Aug 1, 2006 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Neurology Specialists, PA. Past Accepting new patients
Cogent Healthcare of Fort Myers, LLC Internal Medicine Past Accepting new patients

Locations

9730 Commerce Center Ct
#X
Fort Myers, FL 33908

9730 Commerce Center Ct
Fort Myers, FL 33908
Phone (239) 482-5003

Organizations & group practices 5

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 3

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1841211208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 COMMERCE CENTER CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083615",
            "telephone_number": "239-482-5003",
            "fax_number": "239-989-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 COMMERCE CENTER CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083615",
            "telephone_number": "239-482-5003",
            "fax_number": "239-989-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORLEANS",
        "first_name": "MARK",
        "middle_name": "XUEMIN XIE",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME86281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME86281",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00017745",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "42157574886",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.