PRESTIGE PRIMARY CARE
NPI 1225505399
Internal Medicine in Naples, FL
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
Specialties & Licenses
Group Practice 1
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 Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Prestige Primary Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, FLFrequently 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.
Is Prestige Primary Care enrolled in Medicare?
Yes. Prestige Primary Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prestige Primary Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Prestige Primary Care, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Prestige Primary Care · NPI 1225505399
Internal Medicine organization in Naples, Florida. Organization record, active in the CMS NPPES registry since October 26, 2018.
## Identity
- **NPI:** 1225505399 (Entity type: Organization)
- **Enumerated:** October 26, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Mahesha Thimmarayappa, OWNER/PHYSICIAN
## Practice location
- **Address:** 1855 VETERANS PARK DR STE 304, Naples, FL 34109-0446
- **Phone:** (239) 676-0656 · **Fax:** (239) 533-9735
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 7, 2021
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1225505399) · Data from the CMS NPPES public registry.