Individual provider Active NPI

Edward P Lamotta, MD

  • Family Medicine Physician
  • Sanibel, FL
National Provider Identifier
1902805757
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME74037 Issued in FL
Practice address
1699 Periwinkle Way
Sanibel, FL 33957-4402
Phone
(239) 395-2444
Fax
(239) 395-2494
NPI assigned
Jul 14, 2005
Last updated
Oct 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME74037 FL Primary
Internal Medicine Physician 207R00000X ME74037 FL

Addresses

Primary practice location

1699 Periwinkle Way
Sanibel, FL 33957-4402

Mailing address

1699 Periwinkle Way
Sanibel, FL 33957-4402
Phone (239) 395-2444

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
I20041209000266 FL Practitioner - Family PracticePractitioner - Internal Medicine 0345206629

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME74037FLMDFamily Medicine Physician

Organizations & group practices 1

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1902805757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 PERIWINKLE WAY",
            "city": "SANIBEL",
            "state": "FL",
            "postal_code": "339574402",
            "telephone_number": "239-395-2444",
            "fax_number": "239-395-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 PERIWINKLE WAY",
            "city": "SANIBEL",
            "state": "FL",
            "postal_code": "339574402",
            "telephone_number": "239-395-2444",
            "fax_number": "239-395-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOTTA",
        "first_name": "EDWARD",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME74037",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME74037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanibel, FL

Sources for this page

Verify at the official NPI Registry.