Individual provider Active NPI

David Backstein, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Naples, FL
National Provider Identifier
1982473641
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
166112 Issued in FL
Practice address
1285 Creekside Blvd E Unit 102
Naples, FL 34109-0595
Phone
(239) 624-1700
NPI assigned
Dec 21, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 166112 FL Primary

Addresses

Primary practice location

1285 Creekside Blvd E Unit 102
Naples, FL 34109-0595

Mailing address

28122 Kerry CT
Bonita Springs, FL 34135-8922
Phone (416) 270-9328

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
I20240111002946 FL Practitioner - Orthopedic Surgery 8426409657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moorings IncorporatedGroup PAC ID 4688832066, shared by 2 NPIs, 116 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

120 Moorings Park Dr
Naples, FL 34105-2122

1285 Creekside Blvd E
Unit 102
Naples, FL 34109-0595
Phone (239) 624-8250

130 Moorings Park Dr
Naples, FL 34105-2122

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Fort Myers, FL, CCN 683113
  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
166112FLMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Nchmd Inc CurrentSince Jan 8, 2024 Accepting new patients
Nchmd, Inc Adult Reconstructive Orthopaedic Surgery CurrentSince Jan 8, 2024 Accepting new patients

Locations

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

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

1285 Creekside Blvd E
Unit 102
Naples, FL 34109
Phone (239) 624-0310

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dbackstein78216@nchhealthcaresystem.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1982473641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28122 KERRY CT",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358922",
            "telephone_number": "416-270-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 CREEKSIDE BLVD E UNIT 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090595",
            "telephone_number": "239-624-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKSTEIN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "FL",
            "license": "166112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.