ADVANCED UROLOGY INSTITUTE LLC
NPI 1770293300
Durable Medical Equipment & Medical Supplies in Fort Myers, FL

Q: What is Advanced Urology Institute LLC's NPI number?

The NPI number for Advanced Urology Institute LLC is 1770293300. It was assigned to this organization in the NPPES registry on December 5, 2022.

Q: What is Advanced Urology Institute LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since December 05, 2022

6811 PALISADES PARK CT STE 1, FORT MYERS, FL 33912(239) 533-5177 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 2, 2024, Dec 7, 2022 (2 updates tracked since 2022).

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About Advanced Urology Institute Llc NPPES

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

ADVANCED UROLOGY INSTITUTE LLC (NPI 1770293300) is a healthcare organization registered as a durable medical equipment & medical supplies in Fort Myers, Florida and active in the NPI registry since December 2022. The organization lists Richard Wooten, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770293300

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameADVANCED UROLOGY INSTITUTE LLC

Location Address6811 PALISADES PARK CT STE 1Fort Myers, FL 33912-7130

Mailing Address6811 Palisades Park Ct Ste 1Fort Myers, FL 33912-7130 · (239) 533-5177

Phone(239) 533-5177

Organization SubpartYes

Authorized OfficialRichard WootenCeo · (919) 397-8768

Enumeration DateDecember 5, 2022

Last NPPES UpdateApril 2, 20242 updates tracked since enumeration

NPPES CertifiedApril 2, 2024

✔ NPI 1770293300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedUrologyTaxonomy 208800000X

6811 PALISADES PARK CT STE 1, Fort Myers, FL 33912

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Urology Institute 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.

StateEnrollment IDDue date

StateFloridaEnrollment IDO20230308002383DME · Physician - UrologyDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 6

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

KRISTEN LENA DIMAS MD

Family Medicine