TERESA LICCARDI, M.D., PLLC
NPI 1336710748
Internal Medicine - Nephrology in Naples, FL

Active since July 07, 2021
1153 10TH AVE N, NAPLES, FL 34102(980) 461-8050 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Teresa Liccardi, M.d., Pllc NPPES

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

TERESA LICCARDI, M.D., PLLC (NPI 1336710748) is a healthcare organization registered as a nephrology in Naples, Florida and active in the NPI registry since July 2021. The organization lists Teresa Marie Liccardi, Sole Proprietor/ Administrator, as its authorized official.

NPPES Registry Identity

NPI1336710748
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameTERESA LICCARDI, M.D., PLLC
Location Address1153 10TH AVE NNaples, FL 34102-5425
Mailing Address1153 10th Ave NNaples, FL 34102-5425 · (980) 461-8050
Organization SubpartNo
Authorized OfficialTeresa Marie LiccardiSole Proprietor/ Administrator · (908) 461-8050
Enumeration DateJuly 7, 2021
Last NPPES UpdateAugust 30, 2021
NPPES CertifiedAugust 30, 2021
✔ NPI 1336710748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1153 10TH AVE N, Naples, FL 34102

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)

Teresa Liccardi, M.d., Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Teresa Liccardi, M.D., PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1295908598
780 5TH AVE S STE 200
Naples, FL 34102
(239) 366-2223
✔ PECOS✔ Accepts Medicare1.3 mi

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 Teresa Liccardi, M.D., PLLC's NPI number?

The NPI number for Teresa Liccardi, M.D., PLLC is 1336710748. It was assigned to this organization in the NPPES registry on July 7, 2021.

Where is Teresa Liccardi, M.D., PLLC located?

Teresa Liccardi, M.D., PLLC is located at 1153 10th Ave N, Naples, FL 34102. The listed phone number is (980) 461-8050.

What is Teresa Liccardi, M.D., PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Teresa Liccardi, M.D., PLLC enrolled in Medicare?

Yes. Teresa Liccardi, M.D., PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Teresa Liccardi, M.D., PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Teresa Liccardi, M.D., PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Teresa Liccardi, M.D., PLLC was last updated on August 30, 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.