Organization Active NPI

Naples Radiation Oncology, P.a.

  • Radiation Oncology Physician
  • Naples, FL
National Provider Identifier
1871555946
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
NAPLES RADIATION ONCOLOGY, P.A.
Practice address
2575 Northbrooke Plaza Dr Unit 207
Naples, FL 34119-8099
Phone
(239) 262-5168
Fax
(239) 262-8524
NPI assigned
Apr 4, 2006
Last updated
Aug 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Dr. Debra Freeman, M.D.NPI 1346254125
Title
Radiation Oncologist
Phone
(239) 262-5168

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
Radiation Oncology Physician 2085R0001X Primary

Addresses

Primary practice location

2575 Northbrooke Plaza Dr Unit 207
Naples, FL 34119-8099

Mailing address

2575 Northbrooke Plaza Dr Unit 207
Naples, FL 34119-8099
Phone (239) 262-5168

Other identifiers 2

IdentifierTypeStateIssuer
256919100MedicaidFL
057715400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051215000234 FL Part B Supplier - Clinic/Group Practice 2860413028 Receives reassigned benefits from 3 practitioners
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

2575 Northbrooke Plaza Dr
Naples, FL 34119
Phone (239) 465-3546

2575 Northbrooke Plaza Dr
Unit 203
Naples, FL 34119
Phone (239) 262-5168

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1871555946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 NORTHBROOKE PLAZA DR UNIT 207",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198099",
            "telephone_number": "239-262-5168",
            "fax_number": "239-262-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 NORTHBROOKE PLAZA DR UNIT 207",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198099",
            "telephone_number": "239-262-5168",
            "fax_number": "239-262-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES RADIATION ONCOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "RADIATION ONCOLOGIST",
        "authorized_official_telephone_number": "239-262-5168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256919100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057715400",
            "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 Aug 19, 2021; 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.