Individual provider Active NPI

Theodore Crowell, M.D.

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1902802606
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0066982 Issued in FL
Practice address
720 Goodlette Rd N
Suite 500
Naples, FL 34102-5656
Phone
(239) 260-3586
Fax
(239) 254-3105
NPI assigned
Jun 27, 2005
Last updated
Jul 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0066982 FL Primary

Addresses

Primary practice location

720 Goodlette Rd N
Suite 500
Naples, FL 34102-5656

Mailing address

720 Goodlette Rd N
Suite 500
Naples, FL 34102-5656
Phone (239) 260-3586

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
I20120215000878 FL Practitioner - Family Practice 2567620875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1969
Medicare assignment
May accept Medicare assignment
Group practices
Advance Medical of Naples LLCGroup PAC ID 5890940225, 2 clinicians

Practice addresses (Care Compare)

720 Goodlette Frank Rd N
Suite 500
Naples, FL 34102-5656
Phone (239) 566-7676

Merit-based Incentive Payment System (MIPS)

Final score
85.1 of 100Reported as group
Quality
85.84
Improvement activities
40
Cost
69.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0066982FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Medical of Naples LLC CurrentSince Mar 1, 2013 Accepting new patients
Advanced Medical Center LLC Family Medicine Past Accepting new patients
Advanced Medical Center Past Accepting new patients

Locations

1250 Pine Ridge Rd
Naples, FL 34108
Phone (239) 566-7676

720 Goodlette Rd
Ste 500
Naples, FL 34102
Phone (239) 566-7676

Interoperability endpoints

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1902802606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 GOODLETTE RD N",
            "address_2": "SUITE 500",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025656",
            "telephone_number": "239-260-3586",
            "fax_number": "239-254-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 GOODLETTE RD N",
            "address_2": "SUITE 500",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025656",
            "telephone_number": "239-260-3586",
            "fax_number": "239-254-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWELL",
        "first_name": "THEODORE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0066982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.