CHUT SOMBUTMAI DO
NPI 1649320987
Psychiatry & Neurology - Neurology in Fort Myers, FL

Q: What is Chut Sombutmai's NPI number?

The NPI number for Chut Sombutmai is 1649320987. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Q: What is Chut Sombutmai's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Chut Sombutmai was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment

11215 METRO PKWY STE 1, FORT MYERS, FL 33966(239) 208-2212 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 13, 2025, Jan 4, 2023, Nov 8, 2022 and 14 more (17 updates tracked since 2018).

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About Chut Sombutmai Do NPPES

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

CHUT SOMBUTMAI DO (NPI 1649320987) is an individual neurology provider in Fort Myers, Florida, licensed in Florida (OS10770) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Waterman, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1649320987

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameCHUT SOMBUTMAICredential: DO

Location Address11215 METRO PKWY STE 1Fort Myers, FL 33966-1206

Mailing Address11215 Metro Pkwy Ste 1Fort Myers, FL 33966-1206 · (239) 984-6839

Phone(239) 208-2212

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJanuary 11, 2007

Last NPPES UpdateJune 13, 202517 updates tracked since enumeration

NPPES CertifiedJune 13, 2025

✔ NPI 1649320987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in FL · OS10770✔ Licensed in PA · OS019617✔ Licensed in NH · 17444✔ Licensed in NC · 2010-01765

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedHospitalistTaxonomy 208M00000X · License OS10770 (FL)

11215 METRO PKWY STE 1, Fort Myers, FL 33966

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Secondary Practice Locations 8

Location 1315 Medical Park Dr, Suite 202Concord, NC 28025-1902 · Phone (704) 403-1911

Location 2630 Eaton AveHamilton, OH 45013-2767 · Phone (513) 867-2000 · Fax (513) 867-2119

Location 31010 Edgehill Rd NCharlotte, NC 28207-1885 · Phone (704) 446-1900

Location 41250 S Cedar Crest Blvd Ste 405Allentown, PA 18103-6224 · Phone (610) 402-8420

Location 5101 E W T Harris Blvd, Suite 5202Charlotte, NC 28262-3485 · Phone (704) 403-1911

Location 6441 McAlister Rd, Suite 2200Lincolnton, NC 28092-4126 · Phone (800) 230-1721

Location 79625 Northcross Center Ct, Suite 102-FHuntersville, NC 28078-7348 · Phone (800) 230-1721

Location 8172 Kinsley StNashua, NH 03060-3648 · Phone (603) 882-3000 · Fax (603) 889-3774

Other Identifiers 1

Medicaid3115195NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Blue Care Network of Michigan, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chut Sombutmai Do 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 ID4284807413

PECOS Enrollment IDI20111102000829, I20130806000777, I20180426001819, I20180808002738, I20181219002932, I20200115001660, I20201009001386

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.

Areas of Expertise CMS Part B claims 3

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.

Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425

A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.

26 services26 patients

Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426

A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.

19 services19 patients

Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth G0508

A telehealth consultation for critical care is a virtual meeting with a physician, typically lasting 60 minutes. Here, the doctor assesses your health condition, provides guidance, and communicates with other care providers, all through digital platforms. It's a safe, convenient way to receive critical care.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100057

Location1000 Waterman WayTavares, FL 32778 · Lake County

Birthing friendly

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340001

Location920 Church St NConcord, NC 28025 · Cabarrus County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33966 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.

Other Providers at the Same Location NPPES 20

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

STANLEY GARKEN LUE MD

Psychiatry & Neurology (Neurology)