PRESTIGE PRIMARY CARE
NPI 1225505399
Internal Medicine in Naples, FL

Active since October 26, 2018CLIA 10D2165696 · Waiver
1855 VETERANS PARK DR STE 304, NAPLES, FL 34109(239) 676-0656(239) 533-9735 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 7, 2021, May 8, 2019, Feb 6, 2019 and 1 more (4 updates tracked since 2018).

About Prestige Primary Care NPPES

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

PRESTIGE PRIMARY CARE (NPI 1225505399) is a healthcare organization registered as an internal medicine in Naples, Florida and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through May 2, 2027 and lists Mahesha Thimmarayappa, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1225505399
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRESTIGE PRIMARY CARE
Location Address1855 VETERANS PARK DR STE 304Naples, FL 34109-0446
Mailing Address1855 Veterans Park Dr Ste 304Naples, FL 34109-0446 · (239) 676-0656 · Fax (239) 533-9735
Fax(239) 533-9735
Organization SubpartNo
Authorized OfficialMahesha ThimmarayappaOwner/physician · (293) 676-0656
Enumeration DateOctober 26, 2018
Last NPPES UpdateSeptember 7, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2021
NPI 1225505399 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.
1855 VETERANS PARK DR STE 304, Naples, FL 34109

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2165696

Prestige Primary Care LLC · Naples, FL
Active · expires May 2, 2027
CLIA Number10D2165696
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorMahesha Thimmarayappa
Laboratory Phone(443) 366-1644
Laboratory LocationPrestige Primary Care LLC1855 Veterans Park Drive Suite 304, Naples, FL 34109
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Internal Medicine
1855 VETERANS PARK DR STE 304
NAPLES, FL 34109
Clinic/Center (Medical Specialty)
1855 VETERANS PARK DR STE 304
NAPLES, FL 34109
Nurse Practitioner
1855 VETERANS PARK DR STE 304
NAPLES, FL 34109

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 Primary Care's NPI number?

The NPI number for Prestige Primary Care is 1225505399. It was assigned to this organization in the NPPES registry on October 26, 2018.

Where is Prestige Primary Care located?

Prestige Primary Care is located at 1855 Veterans Park Dr Ste 304, Naples, FL 34109. The listed phone number is (239) 676-0656.

What is Prestige Primary Care's specialty?

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

Does Prestige Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2165696) is associated with this NPI, valid through May 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prestige Primary Care was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.