Individual provider Active NPI

Patricia Darlene Elliott, M.D.

  • Obstetrics & Gynecology Physician
  • Naples, FL
National Provider Identifier
1962512798
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME126102 Issued in FL
Practice address
1726 Medical Blvd Ste 101
Naples, FL 34110
Phone
(239) 513-1992
Fax
(239) 513-9022
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 12289 AL
Obstetrics & Gynecology Physician 207V00000X ME126102 FL Primary

Addresses

Primary practice location

1726 Medical Blvd Ste 101
Naples, FL 34110

Mailing address

1726 Medical Blvd Ste 101
Naples, FL 34110-1426
Phone (239) 513-1992

Other practice location 1

1401 E South Blvd
Montgomery, AL 36116-2319
Phone (334) 281-6700

Other practice location 2

1401 E South Blvd
Montgomery, AL 36116-2319
Phone (334) 281-6700

Other practice location 3

1190 NW 95th St Ste 306
Miami, FL 33150-2066
Phone (305) 693-0000

Other identifiers 2

IdentifierTypeStateIssuer
021539400MedicaidFL
U6Z44OtherFLBCBS

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
I20190208001312 FL Practitioner - Obstetrics/Gynecology 0840213567 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12289ALMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Dec 30, 2021 Accepting new patients
Naples Womens Center LLC Obstetrics & Gynecology CurrentSince Sep 21, 2018 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Dec 30, 2021 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

1726 Medical Blvd
Ste 101
Naples, FL 34110
Phone (239) 513-1992

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8070/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1962512798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 MEDICAL BLVD STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101426",
            "telephone_number": "239-513-1992",
            "fax_number": "239-513-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 MEDICAL BLVD STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34110",
            "telephone_number": "239-513-1992",
            "fax_number": "239-513-9022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 E South Blvd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361162319",
            "country_code": "US",
            "telephone_number": "334-281-6700",
            "fax_number": "334-288-4691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 E South Blvd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361162319",
            "country_code": "US",
            "telephone_number": "334-281-6700",
            "fax_number": "334-288-4691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1190 NW 95th St Ste 306",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331502066",
            "country_code": "US",
            "telephone_number": "305-693-0000",
            "fax_number": "786-329-6771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "PATRICIA",
        "middle_name": "DARLENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AL",
            "license": "12289",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME126102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021539400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "U6Z44",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.