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PRESTIGE OUTPATIENT PROVIDERS, LLC
NPI 1124599824
Internal Medicine in Naples, FL

Active since December 07, 2018
2338 IMMOKALEE RD # 186, NAPLES, FL 34110(239) 330-2933 Get Directions Write a Review

NPPES record last updated: December 21, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 21, 2018, Dec 7, 2018 (2 updates tracked since 2018).

About Prestige Outpatient Providers, Llc NPPES

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

PRESTIGE OUTPATIENT PROVIDERS, LLC (NPI 1124599824) is a healthcare organization registered as an internal medicine in Naples, Florida and active in the NPI registry since December 2018. The organization lists Oksana Rustamova, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1124599824
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRESTIGE OUTPATIENT PROVIDERS, LLC
Location Address2338 IMMOKALEE RD # 186Naples, FL 34110-1445
Mailing Address2338 Immokalee Rd # 141Naples, FL 34110-1445 · (239) 330-2933
Phone(239) 330-2933
Organization SubpartNo
Authorized OfficialOksana RustamovaCredentialing Specialist · (646) 517-1257
Enumeration DateDecember 7, 2018
Last NPPES UpdateDecember 21, 20182 updates tracked since enumeration
✔ NPI 1124599824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2338 IMMOKALEE RD # 186, Naples, FL 34110
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prestige Outpatient Providers, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Prestige Outpatient Providers, LLC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner14
Internal Medicine7
Family Practice3
Hospitalist1
Psychiatry1
Thoracic Surgery1

Nearest to this location (20)

See all 27
Anita Gofran, MD
Internal Medicine
NPI 1629277637
2338 IMMOKALEE RD STE 186
Naples, FL 34110
(239) 330-2933
✔ PECOS✔ Accepts MedicareSame address
Jorge Cruz, MD
Internal Medicine
NPI 1710449731
2338 IMMOKALEE RD # 561
Naples, FL 34110
(786) 261-4132
✔ PECOS✔ Accepts MedicareSame address
Frank Elterman, D.O.
Internal Medicine
NPI 1013357185
2338 IMMOKALEE RD STE 141
Naples, FL 34110
(239) 330-2933
✔ PECOS✔ Accepts MedicareSame address
Moises Exposito, APRN
Nurse Practitioner
NPI 1013569417
2338 IMMOKALEE RD # 186
Naples, FL 34110
(239) 330-2933
✔ PECOS✔ Accepts MedicareSame address
Genesis Flanagan, APRN
Nurse Practitioner
NPI 1396107223
2338 IMMOKALEE RD # 141
Naples, FL 34110
(239) 330-2933
✔ PECOS✔ Accepts MedicareSame address
Rosio Garcia
Nurse Practitioner
NPI 1912766973
2338 IMMOKALEE RD # 186
Naples, FL 34110
(239) 330-2933
✔ PECOS✔ Accepts MedicareSame address
Jennifer Green
Nurse Practitioner
NPI 1932778396
2338 IMMOKALEE RD # 186
Naples, FL 34110
(239) 330-2933
✔ PECOS✔ Accepts MedicareSame address
Jonathan Marsh, MD
Internal Medicine
NPI 1275795528
2338 IMMOKALEE RD SUITE 186
Naples, FL 34110
(239) 330-2933
✔ PECOS✔ Accepts MedicareSame address
Jennifer Miller
Nurse Practitioner
NPI 1154047645
2338 IMMOKALEE RD # 186
Naples, FL 34110
(239) 596-2005
✔ PECOS✔ Accepts MedicareSame address
Maria Prieto
Nurse Practitioner
NPI 1558149260
2338 IMMOKALEE RD # 141
Naples, FL 34110
(239) 330-2933
✔ PECOS✔ Accepts MedicareSame address
Omar Hussain, M.D.
Internal Medicine
NPI 1437447752
11190 HEALTH PARK BLVD
Naples, FL 34110
(239) 330-2933
✔ PECOS✔ Accepts Medicare1.0 mi
Rachelle Neus, APRN
Nurse Practitioner
NPI 1508626318
936 BARCARMIL WAY
Naples, FL 34110
(239) 265-3391
✔ PECOS✔ Accepts Medicare1.6 mi
Zubin Pachori, M.D.
Family Practice
NPI 1427214485
18101 LAGOS WAY
Naples, FL 34110
(480) 720-8535
✔ PECOS✔ Accepts Medicare3.3 mi
Esther Pinter, ARNP
Nurse Practitioner
NPI 1902315328
800 GOODLETTE-FRANK RD N STE 250
Naples, FL 34102
(239) 667-5878
✔ PECOS✔ Accepts Medicare7.8 mi
Yaima Solano, FNP
Nurse Practitioner
NPI 1508715939
661 GOODLETTE-FRANK RD N STE 103
Naples, FL 34102
(301) 202-4758
✔ PECOS8.0 mi
Laritza Reyes Marti, APRN, FNP- BC
Nurse Practitioner
NPI 1336860857
1250 TAMIAMI TRL N STE 110
Naples, FL 34102
(239) 986-2484
✔ PECOS✔ Accepts Medicare9.2 mi
Watson Camilus
Nurse Practitioner
NPI 1750013157
3051 SANDPIPER BAY CIR APT I205
Naples, FL 34112
(239) 692-4420
✔ PECOS✔ Accepts Medicare10 mi
Kathy Claros
Nurse Practitioner
NPI 1073376844
11241 MIROMAR SQUARE BLVD
Estero, FL 33928
(866) 389-2727
✔ PECOS✔ Accepts Medicare11 mi
Ricardo Alonso, M.D.
Family Practice
NPI 1548623242
8823 TAMIAMI TRL E
Naples, FL 34113
(239) 383-9260
✔ PECOS✔ Accepts Medicare12 mi
Holly Dagney, D.O.
Family Practice
NPI 1215905120
8340 COLLIER BLVD STE 200
Naples, FL 34114
(239) 348-4538
✔ PECOS✔ Accepts Medicare13 mi
See all 27 clinicians

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

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 Prestige Outpatient Providers, LLC's NPI number?

The NPI number for Prestige Outpatient Providers, LLC is 1124599824. It was assigned to this organization in the NPPES registry on December 7, 2018.

Where is Prestige Outpatient Providers, LLC located?

Prestige Outpatient Providers, LLC is located at 2338 Immokalee Rd # 186, Naples, FL 34110. The listed phone number is (239) 330-2933.

What is Prestige Outpatient Providers, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prestige Outpatient Providers, LLC enrolled in Medicare?

Yes. Prestige Outpatient Providers, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prestige Outpatient Providers, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 6 Medicare specialties reassign their Medicare billing to Prestige Outpatient Providers, LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (14), Internal Medicine (7) and Family Practice (3). Of these, 10 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prestige Outpatient Providers, LLC was last updated on December 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.