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ELEMENT MEDICAL OF CAPE CORAL LLC
NPI 1679467179
General Practice in Cape Coral, FL

Active since June 07, 2025CLIA 10D2322086 · Waiver
822 DEL PRADO BLVD S STE 120, CAPE CORAL, FL 33990(239) 308-1006(239) 308-1007 Get Directions Write a Review

NPPES record last updated: June 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Element Medical Of Cape Coral Llc NPPES

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

ELEMENT MEDICAL OF CAPE CORAL LLC (NPI 1679467179) is a healthcare organization registered as a general practice in Cape Coral, Florida and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through April 14, 2027 and lists David Phillips, Physician, as its authorized official.

NPPES Registry Identity

NPI1679467179
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameELEMENT MEDICAL OF CAPE CORAL LLC
Location Address822 DEL PRADO BLVD S STE 120Cape Coral, FL 33990-2687
Mailing Address2637 E Atlantic Blvd # 1385Pompano Beach, FL 33062-4939 · (239) 308-1006 · Fax (239) 308-1007
Phone(239) 308-1006
Fax(239) 308-1007
Organization SubpartNo
Authorized OfficialDavid PhillipsPhysician · (239) 308-1006
Enumeration DateJune 7, 2025
NPPES CertifiedJune 7, 2025
✔ NPI 1679467179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
822 DEL PRADO BLVD S STE 120, Cape Coral, FL 33990
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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)

Element Medical Of Cape Coral Llc 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 Element Medical Of Cape Coral LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Phillips, DO
General Practice
NPI 1194165688
822 DEL PRADO BLVD S STE 120
Cape Coral, FL 33990
(239) 308-1006
✔ PECOSSame address

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 10D2322086

Element Medical Of Cape Coral LLC · Cape Coral, FL
Active · expires Apr 14, 2027
CLIA Number10D2322086
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorDavid A. Phillips
Laboratory Phone(714) 345-6084
Laboratory LocationElement Medical Of Cape Coral LLC822 Del Prado Blvd S, Ste 120, Cape Coral, FL 33990
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Element Medical Of Cape Coral LLC's NPI number?

The NPI number for Element Medical Of Cape Coral LLC is 1679467179. It was assigned to this organization in the NPPES registry on June 7, 2025.

Where is Element Medical Of Cape Coral LLC located?

Element Medical Of Cape Coral LLC is located at 822 Del Prado Blvd S Ste 120, Cape Coral, FL 33990. The listed phone number is (239) 308-1006.

What is Element Medical Of Cape Coral LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Element Medical Of Cape Coral LLC enrolled in Medicare?

Yes. Element Medical Of Cape Coral LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Element Medical Of Cape Coral LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Element Medical Of Cape Coral 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Element Medical Of Cape Coral LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2322086) is associated with this NPI, valid through April 14, 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 Element Medical Of Cape Coral LLC was last updated on June 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.