Organization Active NPI

Pinnacle Health Specialists LLC

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1902593809
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PINNACLE HEALTH SPECIALISTS LLC
Practice address
800 Goodlette Rd Ste 130
Naples, FL 34102-5402
Phone
(239) 649-3333
Fax
(239) 649-3386
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Dr. Tyrone Medina Jr., MDNPI 1255494092
Title
MD
Phone
(239) 649-3333

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

800 Goodlette Rd Ste 130
Naples, FL 34102-5402

Mailing address

800 Goodlette Rd Ste 130
Naples, FL 34102-5402
Phone (239) 649-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230919001821 FL Part B Supplier - Clinic/Group Practice 6800250291 Receives reassigned benefits from 2 practitioners
Practice locations: Naples, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2317672Pinnacle Health Specialists, LLC800 Goodlette Rd, Ste 130, Naples, FL 34102Certificate of waiverJan 28, 2027

National Provider Directory

National Provider Directory

Locations

800 Goodlette Rd
Ste 130
Naples, FL 34102
Phone (239) 649-3333

3555 Kraft Rd
Unit 100
Naples, FL 34105

Practitioners & affiliated clinicians

Practitioners 2

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": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1902593809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GOODLETTE RD STE 130",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025402",
            "telephone_number": "239-649-3333",
            "fax_number": "239-649-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GOODLETTE RD STE 130",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025402",
            "telephone_number": "239-649-3333",
            "fax_number": "239-649-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTH SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "239-649-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.