HARBOR MEDICAL GROUP LLC
NPI 1689184335
Internal Medicine in Port Charlotte, FL

Q: What is Harbor Medical Group LLC's NPI number?

The NPI number for Harbor Medical Group LLC is 1689184335. It was assigned to this organization in the NPPES registry on October 9, 2017.

Q: What is Harbor Medical Group LLC's specialty?

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

Active since October 09, 2017

21202 OLEAN BLVD STE C1, PORT CHARLOTTE, FL 33952(941) 889-7440(941) 391-6089 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2023, Oct 9, 2017 (2 updates tracked since 2017).

On this page

About Harbor Medical Group Llc NPPES

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

HARBOR MEDICAL GROUP LLC (NPI 1689184335) is a healthcare organization registered as an internal medicine in Port Charlotte, Florida and active in the NPI registry since October 2017. The organization lists Ahsan Kamal, Owner, as its authorized official.

NPPES Registry Identity

NPI1689184335

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameHARBOR MEDICAL GROUP LLC

Location Address21202 OLEAN BLVD STE C1Port Charlotte, FL 33952-6725

Mailing Address21202 Olean Blvd Ste C1Port Charlotte, FL 33952-6725 · (941) 889-7440 · Fax (941) 391-6089

Phone(941) 889-7440

Fax(941) 391-6089

Organization SubpartNo

Authorized OfficialAhsan KamalOwner · (941) 889-7440

Enumeration DateOctober 9, 2017

Last NPPES UpdateMay 5, 20232 updates tracked since enumeration

NPPES CertifiedMay 5, 2023

✔ NPI 1689184335 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.

21202 OLEAN BLVD STE C1, Port Charlotte, FL 33952

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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)

Harbor Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 24 clinicians reassign Medicare billing to Harbor Medical Group LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner15

Internal Medicine3

Family Practice2

Hospitalist2

General Practice1

Geriatric Medicine1

Nearest to this location (20)

See all 24

Alyssa Butterbaugh, APRN

Nurse Practitioner

NPI 1902616923

21202 OLEAN BLVD STE C6
Port Charlotte, FL 33952

(585) 519-9998

✔ PECOS✔ Accepts MedicareSame address

Fides Delart

Nurse Practitioner

NPI 1568935724

2343 AARON ST
Port Charlotte, FL 33952

(855) 979-5700

✔ PECOS✔ Accepts Medicare0.1 mi

Maria Laquian, APRN

Nurse Practitioner

NPI 1003514225

2343 AARON ST
Port Charlotte, FL 33952

(855) 979-5700

✔ PECOS✔ Accepts Medicare0.1 mi

Victor Pena, M.D.

Family Practice

NPI 1609230119

21297 OLEAN BLVD STE A
Port Charlotte, FL 33952

(855) 979-5700

✔ PECOS✔ Accepts Medicare0.2 mi

Glodene Roberts, ARNP

Nurse Practitioner

NPI 1689160913

21297 OLEAN BLVD STE A
Port Charlotte, FL 33952

(855) 979-5700

✔ PECOS0.2 mi

Tamara Rodriguez, MD

Hospitalist

NPI 1124395918

21297 OLEAN BLVD STE A
Port Charlotte, FL 33952

(855) 979-5700

✔ PECOS✔ Accepts Medicare0.2 mi

Samantha Jean, M.D.

Internal Medicine

NPI 1023438512

2525 HARBOR BLVD SUITE 308
Port Charlotte, FL 33952

(419) 629-7777

✔ PECOS✔ Accepts Medicare0.3 mi

Gerdie Jean-Smith, M.D,

Geriatric Medicine

NPI 1346669025

2525 HARBOR BLVD STE 308
Port Charlotte, FL 33952

(941) 629-7777

✔ PECOS✔ Accepts Medicare0.3 mi

Dominica Orisakwe

Nurse Practitioner

NPI 1679067425

3390 TAMIAMI TRL STE 204
Port Charlotte, FL 33952

(941) 391-5495

✔ PECOS✔ Accepts Medicare0.4 mi

Robert Hull, MD

Internal Medicine

NPI 1811930779

2852 TAMIAMI TRL STE 4
Port Charlotte, FL 33952

(941) 286-2432

✔ PECOS✔ Accepts Medicare0.5 mi

Bernadette Serafini, MSN AGPCNP

Nurse Practitioner

NPI 1497398606

22395 EDGEWATER DR
Port Charlotte, FL 33980

(941) 766-7222

✔ PECOS✔ Accepts Medicare2.1 mi

Rebecca Corcoran, ARNP, FNP-C

Nurse Practitioner

NPI 1255724712

19700 COCHRAN BLVD STE D
Port Charlotte, FL 33948

(941) 219-5570

✔ PECOS2.9 mi

Jennifer Artus

Nurse Practitioner

NPI 1215622394

24025 MADACA LN UNIT 201
Port Charlotte, FL 33954

(973) 641-8985

✔ PECOS✔ Accepts Medicare3.6 mi

Birgit Bodine, MD

Hospitalist

NPI 1568450831

265 E MARION AVE UNIT 117A
Punta Gorda, FL 33950

(941) 477-2307

✔ PECOS✔ Accepts Medicare4.7 mi

Emil Dameff, M.D.

General Practice

NPI 1811035314

3162 WILLOW RD
Punta Gorda, FL 33982

(941) 380-6022

✔ PECOS9.3 mi

Ella Varney, M.D.

Family Practice

NPI 1205821691

636 DEL PRADO BLVD S
Cape Coral, FL 33990

(239) 343-2052

✔ PECOS✔ Accepts Medicare26 mi

John Dempsey, APRN

Nurse Practitioner

NPI 1528352192

2776 CLEVELAND AVE
Fort Myers, FL 33901

(239) 343-2606

✔ PECOS28 mi

Alexandra Rowlands

Nurse Practitioner

NPI 1346019783

2776 CLEVELAND AVE
Fort Myers, FL 33901

(239) 343-2000

✔ PECOS✔ Accepts Medicare28 mi

Kelly Rios, APRN

Nurse Practitioner

NPI 1568658383

3487 BROADWAY
Fort Myers, FL 33901

(239) 334-9555

✔ PECOS✔ Accepts Medicare29 mi

Christopher Newcomb, M.D.

Internal Medicine

NPI 1972708451

6150 EDGELAKE DR
Sarasota, FL 34240

(941) 685-2463

✔ PECOS✔ Accepts Medicare30 mi

See all 24 clinicians

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 Harbor Medical Group LLC's NPI number?

The NPI number for Harbor Medical Group LLC is 1689184335. It was assigned to this organization in the NPPES registry on October 9, 2017.

Where is Harbor Medical Group LLC located?

Harbor Medical Group LLC is located at 21202 Olean Blvd Ste C1, Port Charlotte, FL 33952. The listed phone number is (941) 889-7440.

What is Harbor Medical Group LLC's specialty?

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

Is Harbor Medical Group LLC enrolled in Medicare?

Yes. Harbor Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Harbor Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 6 Medicare specialties reassign their Medicare billing to Harbor Medical Group 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. The largest specialties are Nurse Practitioner (15), Internal Medicine (3) and Family Practice (2). Of these, 1 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Harbor Medical Group LLC was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.