Organization Active NPI

Restoration Orthopedics

  • Orthopaedic Surgery Physician
  • Naples, FL
National Provider Identifier
1861538902
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0063476 Issued in FL
Legal business name
RESTORATION ORTHOPEDICS
Practice address
1350 Tamiami TRL N
#203
Naples, FL 34102-5203
Phone
(239) 325-1131
Fax
(239) 262-5980
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Mrs. Melissa Ramon
Title
Office Manager
Phone
(239) 325-1131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X ME0063476 FL Primary

Addresses

Primary practice location

1350 Tamiami TRL N
#203
Naples, FL 34102-5203

Mailing address

1350 Tamiami TRL N
#203
Naples, FL 34102-5203
Phone (239) 325-1131

Other names 2

  • Philip Regala MD PA Former legal business name
  • Philip Regala MD PL Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041021000546 FL Part B Supplier - Clinic/Group Practice 4587625728 Receives reassigned benefits from 4 practitioners
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

12871 Trade Way Dr
Ste 12
Bonita Springs, FL 34135
Phone (239) 478-0051

1112 Goodlette Rd
Ste 100
Naples, FL 34102
Phone (239) 262-0020

1350 Tamiami Trl N
Ste 203
Naples, FL 34102
Phone (239) 262-0020

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IACDAA

Practitioners & affiliated clinicians

Practitioners 6

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1861538902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 TAMIAMI TRL N",
            "address_2": "#203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025203",
            "telephone_number": "239-325-1131",
            "fax_number": "239-262-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 TAMIAMI TRL N",
            "address_2": "#203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025203",
            "telephone_number": "239-325-1131",
            "fax_number": "239-262-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "RAMON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-325-1131",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0063476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philip Regala MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Philip Regala MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Philip Regala MD PL",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 29, 2024; 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.