Provider Type Icon

DR. ALBERT RICHARD PESCITELLI M.D. NPI 1316932536


NPI Information

NPI: 1316932536
Provider Name: DR. ALBERT RICHARD PESCITELLI, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
7890 SUMMERLIN LAKES DR
SUITE #3
FORT MYERS, FL
ZIP 33907
Phone: (239) 939-1999
Get Directions

DR. Albert Richard Pescitelli, M.D. is a specialist in Fort Myers, FL with 38 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Albert Richard Pescitelli, M.D. NPI is 1316932536. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1986

The provider's business location address is:

7890 SUMMERLIN LAKES DR
SUITE #3
FORT MYERS, FL
ZIP 33907-851
Phone: (239) 939-1999
Fax: (239) 939-4935

The NPI 1316932536 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/14/2005 and was last updated on 8/30/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist0059299FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
112095MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2HB175AMEDICARE UPINFLORIDA
3E61540MEDICARE UPINFLORIDA
4052728900MEDICAIDFLORIDA
5008470600MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.