LEE HEALTH UROLOGY SURGERY CENTER
NPI 1689236242
Clinic/Center - Ambulatory Surgical in Fort Myers, FL

Active since July 03, 2019CLIA 10D0977668 · Waiver
12631 WHITEHALL DR, FORT MYERS, FL 33907(239) 343-9000(239) 343-9001 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 13, 2019, Jul 12, 2019, Jul 3, 2019 (3 updates tracked since 2019).

About Lee Health Urology Surgery Center NPPES

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

LEE HEALTH UROLOGY SURGERY CENTER (NPI 1689236242) is a healthcare organization registered as an ambulatory surgical in Fort Myers, Florida and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists Joseph Niebergall, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1689236242
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLEE MEMORIAL HEALTH SYSTEM
Location Address12631 WHITEHALL DRFort Myers, FL 33907-3626
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 424-1449 · Fax (239) 424-1423
Fax(239) 343-9001
Organization SubpartNo
Authorized OfficialJoseph NiebergallCredentialing Specialist · (239) 424-1446
Enumeration DateJuly 3, 2019
Last NPPES UpdateAugust 13, 20193 updates tracked since enumeration
NPI 1689236242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
12631 WHITEHALL DR, Fort Myers, FL 33907

Other Names 1

Doing Business AsLee Health Urology Surgery Center

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 10D0977668

Lee Health Urology Surgery Center · Fort Myers, FL
Active · expires Aug 30, 2026
CLIA Number10D0977668
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 31, 2024
Certificate Expiration DateAugust 30, 2026
Laboratory DirectorJasper J. Rizzo
Laboratory Phone(239) 343-9000
Laboratory LocationLee Health Urology Surgery Center12631 Whitehall Dr, Fort Myers, FL 33907
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 15

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
1,500 services12 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
610 services559 patients
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310
This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.
131 services125 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
93 services93 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
51 services46 patients
Crushing of stone of ureter with insertion of stent using an endoscope 52356
This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.
33 services33 patients

Other Providers at the Same Location NPPES 5

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

Anesthesiology
12631 WHITEHALL DR
FORT MYERS, FL 33907
Nurse Anesthetist, Certified Registered
12631 WHITEHALL DR
FORT MYERS, FL 33907
Clinic/Center (Ambulatory Surgical)
12631 WHITEHALL DR
FORT MYERS, FL 33907
Nurse Anesthetist, Certified Registered
12631 WHITEHALL DR, SURGERY CENTER OF SW FLA
FT MYERS, FL 33907
Clinic/Center (Ambulatory Surgical)
12631 WHITEHALL DR
FT MYERS, FL 33907

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 Lee Memorial Health System's NPI number?

The NPI number for Lee Memorial Health System is 1689236242. It was assigned to this organization in the NPPES registry on July 3, 2019. The provider is doing business as Lee Health Urology Surgery Center.

Where is Lee Memorial Health System located?

Lee Memorial Health System is located at 12631 Whitehall Dr, Fort Myers, FL 33907. The listed phone number is (239) 343-9000.

What is Lee Memorial Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Lee Memorial Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0977668) is associated with this NPI, valid through August 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lee Memorial Health System was last updated on August 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.