LLC
NPI 1700463643
Internal Medicine in Fort Myers, FL
About Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LLC (NPI 1700463643) is a healthcare organization registered as an internal medicine in Fort Myers, Florida and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Sumeet Shetty, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (12)
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 10D2227137
Axel Health Primary Care LLC · Fort Myers, FLFrequently 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 Axel Health Primary Care LLC's NPI number?
The NPI number for Axel Health Primary Care LLC is 1700463643. It was assigned to this organization in the NPPES registry on March 26, 2021. The provider is also known as LLC.
Where is Axel Health Primary Care LLC located?
Axel Health Primary Care LLC is located at 6811 Porto Fino Cir, Fort Myers, FL 33912. The listed phone number is (239) 208-6648.
What is Axel Health Primary Care LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Axel Health Primary Care LLC enrolled in Medicare?
Yes. Axel Health Primary Care LLC is registered in the Medicare PECOS enrollment system.
When is Axel Health Primary Care LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Axel Health Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Axel Health Primary Care 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 (6), Hospitalist (3) and Internal Medicine (2). Of these, 2 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Axel Health Primary Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2227137) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Axel Health Primary Care LLC accept?
Health plans from Molina Healthcare list Axel Health Primary Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Axel Health Primary Care LLC was last updated on August 10, 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.
# Llc · NPI 1700463643
Internal Medicine organization in Fort Myers, Florida. Organization record, active in the CMS NPPES registry since March 26, 2021.
## Identity
- **NPI:** 1700463643 (Entity type: Organization)
- **Enumerated:** March 26, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Axel Health Primary Care Llc
- **Organization subpart:** No
- **Authorized official:** Sumeet Shetty, CEO
## Practice location
- **Address:** 6811 PORTO FINO CIR, Fort Myers, FL 33912-4354
- **Phone:** (239) 208-6648 · **Fax:** (239) 931-0221
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 12 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Hospitalist (3), Internal Medicine (2); 2 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2023
- **Other identifiers:** Other ME91067
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1700463643) · Data from the CMS NPPES public registry.