Individual provider Active NPI

Salvatore Anzalone, MD, PACOG

  • Pediatrics Physician
  • Naples, FL
National Provider Identifier
1871591180
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME117687 Issued in FL
Practice address
3425 10TH St N
Naples, FL 34103-3866
Phone
(239) 262-1066
Fax
(239) 262-2031
NPI assigned
Jul 11, 2005
Last updated
Nov 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME117687 FL Primary

Addresses

Primary practice location

3425 10TH St N
Naples, FL 34103-3866

Mailing address

1454 Madison Ave W
Immokalee, FL 34142-2200
Phone (239) 658-3064

Other identifiers 3

IdentifierTypeStateIssuer
06032AOtherPAEPSDT
1158726MedicaidPA
010865500MedicaidFL

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
I20170825000460 FL Practitioner - Pediatric Medicine 5496027435 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME117687FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Health Services, Inc CurrentSince Jun 12, 2017 Accepting new patients
Collier Health Services Inc CurrentSince Jun 12, 2017 Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Pediatrics Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Pediatrics Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients

Locations

125 Boston Ave
Immokalee, FL 34142
Phone (239) 657-5800

1441 Heritage Blvd
Immokalee, FL 34142
Phone (239) 624-8050

1454 Madison Ave W
Immokalee, FL 34142
Phone (239) 658-3064

1454 Madison Ave W
Unit 3
Immokalee, FL 34142

1454 Madison Ave W
Unit 4
Immokalee, FL 34142

1090 6th Ave N
Naples, FL 34102
Phone (239) 213-9200

12655 Collier Blvd
Naples, FL 34116
Phone (239) 571-9015

1845 Veterans Park Dr
Naples, FL 34109
Phone (239) 571-9015

1920 Manatee Rd
Naples, FL 34114

3425 10th St N
Naples, FL 34103
Phone (239) 262-3669

6350 Davis Blvd
Unit 1001
Naples, FL 34104

9160 Galleria Ct
Naples, FL 34109
Phone (239) 514-8787

Interoperability endpoints

  • Direct secure messaging: salvatore.anzalone.1@10865.direct.athenahealth.com

Organizations & group practices 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1871591180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 MADISON AVE W",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422200",
            "telephone_number": "239-658-3064",
            "fax_number": "239-658-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 10TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033866",
            "telephone_number": "239-262-1066",
            "fax_number": "239-262-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZALONE",
        "first_name": "SALVATORE",
        "credential": "MD, PACOG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME117687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPSDT",
            "identifier": "06032A",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1158726",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010865500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.