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HOUTAN SAREH MD
NPI 1093818262
Internal Medicine - Pulmonary Disease in Fort Myers, FL

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
79.77/100
CMS Quality Rating
16420 HEALTHPARK COMMONS DR, FORT MYERS, FL 33908(239) 985-1925(239) 321-6044 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2024, Oct 25, 2023, Oct 11, 2023 (3 updates tracked since 2023).

About Houtan Sareh Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOUTAN SAREH MD (NPI 1093818262) is an individual pulmonary disease provider in Fort Myers, Florida, licensed in Florida (ME95768) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093818262
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameHOUTAN SAREHCredential: MD
Location Address16420 HEALTHPARK COMMONS DRFort Myers, FL 33908-9621
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 985-1925 · Fax (239) 468-7929
Phone(239) 985-1925
Fax(239) 321-6044
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2003
Enumeration DateSeptember 6, 2006
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1093818262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in FL · ME95768
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
16420 HEALTHPARK COMMONS DR, Fort Myers, FL 33908
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17335 Gladiolus DrFort Myers, FL 33908-5101 · Phone (239) 985-1925 · Fax (239) 321-6044
Location 216271 Bass RdFort Myers, FL 33908-3616 · Phone (239) 985-1929 · Fax (239) 468-7929

Other Identifiers 8

OtherP954381FL · Optimum
Other304134FL · Avmed
OtherP100579FL · Frredom
Other57601FL · Bcbs Of Fl
Other9338156FL · Cigna
OtherP01319830FL · Rr Medicare
Medicaid276252800FL
Other7944871FL · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Houtan Sareh Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355343757
PECOS Enrollment IDI20070214000314
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Houtan Sareh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Genesiscare Usa Of Florida LLC
Same address
Pulmonary Disease
16420 HEALTHPARK COMMONS DR, SUITE 100
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 284 clinicians in this Medicare group
NPI 1518393362 (239) 369-5443
Lee Health System Inc
0.2 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500
Lee Memorial Health System
0.2 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
NPI 1992873319 (239) 424-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
436 services242 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
299 services181 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
238 services118 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
90 services88 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
71 services70 patients
Aspiration of initial secretion of lung airway using an endoscope 31645
This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.
25 services25 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33908 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.34
Promoting Interoperability100
Improvement Activities40
Cost55.23

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
43%217 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
42%477 patients2/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
81%1,810 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
59%788 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 471 patients
Patients tobacco: 97% · 471 patients
77%35 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers14 claims14 services$73.77 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers12 claims32 services$30.42 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers14 claims14 services$16.21 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers18 claims18 services$10.71 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers22 claims124 services$1.84 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
4 suppliers11 claims11 services$10.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAYMOND SANTUCCI II MD
Internal Medicine (Pulmonary Disease)
16420 HEALTHPARK COMMONS DR
FORT MYERS, FL 33908
Lee County (239) 985-1925
MR. TIMOTHY LEE WATERS JR. ARNP
Nurse Practitioner (Gerontology)
16420 HEALTHPARK COMMONS DR
FORT MYERS, FL 33908
Lee County (239) 985-1925
ZACHARY SCHEID DO
Internal Medicine (Critical Care Medicine)
16420 HEALTHPARK COMMONS DR
FORT MYERS, FL 33908
Lee County (239) 985-1925
IMTIAZ AHMAD MD
Internal Medicine (Pulmonary Disease)
16420 HEALTHPARK COMMONS DR, SUITE 100
FORT MYERS, FL 33908
Lee County (239) 437-6670
MR. BRIAN D. BROWN PA-C
Physician Assistant
16420 HEALTHPARK COMMONS DR
FORT MYERS, FL 33908
Lee County (239) 985-1925
DR. ASHISH MADHUKAR ADI MD
Internal Medicine (Pulmonary Disease)
16420 HEALTHPARK COMMONS DR
FORT MYERS, FL 33908
Lee County (239) 985-1925
GENESISCARE USA OF FLORIDA LLC
Internal Medicine (Pulmonary Disease)
16420 HEALTHPARK COMMONS DR, SUITE 100
FORT MYERS, FL 33908
Lee County (239) 369-5443
ERICA CHARLES
Physician Assistant
16420 HEALTHPARK COMMONS DR
FORT MYERS, FL 33908
Lee County (239) 985-1925

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Houtan Sareh's NPI number?

The NPI number for Houtan Sareh is 1093818262. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Houtan Sareh located?

Houtan Sareh practices at 16420 Healthpark Commons Dr, Fort Myers, FL 33908. The listed phone number is (239) 985-1925.

What is Houtan Sareh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Houtan Sareh enrolled in Medicare?

Yes. Houtan Sareh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Houtan Sareh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Houtan Sareh reassigns Medicare benefits to 3 organizations: Genesiscare Usa Of Florida LLC (Fort Myers, FL), Lee Health System Inc (Fort Myers, FL) and Lee Memorial Health System (Fort Myers, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Houtan Sareh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Houtan Sareh accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Houtan Sareh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Houtan Sareh affiliated with any hospitals?

According to CMS data, Houtan Sareh is affiliated with Lee Memorial Hospital, Tampa General Hospital and Gulf Coast Medical Center Lee Health.

When was this NPI record last updated?

The NPPES record for Houtan Sareh was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.