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RENEWAL GERIATRIC PRIMARY CARE PA
NPI 1831661222
Internal Medicine in Naples, FL

Active since December 22, 2018
5630 ELBOW AVE, NAPLES, FL 34113(239) 206-0115(239) 307-2455 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2022, Mar 20, 2019, Dec 22, 2018 (3 updates tracked since 2018).

About Renewal Geriatric Primary Care Pa NPPES

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

RENEWAL GERIATRIC PRIMARY CARE PA (NPI 1831661222) is a healthcare organization registered as an internal medicine in Naples, Florida and active in the NPI registry since December 2018. The organization lists Nana Mimura, Owner, as its authorized official.

NPPES Registry Identity

NPI1831661222
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRENEWAL GERIATRIC PRIMARY CARE PA
Location Address5630 ELBOW AVENaples, FL 34113-8395
Mailing Address5630 Elbow AveNaples, FL 34113-8395 · (239) 206-0115 · Fax (239) 307-2455
Phone(239) 206-0115
Fax(239) 307-2455
Organization SubpartNo
Authorized OfficialNana MimuraOwner · (239) 206-0115
Enumeration DateDecember 22, 2018
Last NPPES UpdateSeptember 23, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2025
✔ NPI 1831661222 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.
5630 ELBOW AVE, Naples, FL 34113
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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)

Renewal Geriatric Primary Care Pa 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 Renewal Geriatric Primary Care PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nana Mimura, MD
Internal Medicine
NPI 1568563625
3030 N ROCKY POINT DR W STE 670
Tampa, FL 33607
(239) 597-0583
✔ PECOS✔ Accepts Medicare138 mi

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 Renewal Geriatric Primary Care PA's NPI number?

The NPI number for Renewal Geriatric Primary Care PA is 1831661222. It was assigned to this organization in the NPPES registry on December 22, 2018.

Where is Renewal Geriatric Primary Care PA located?

Renewal Geriatric Primary Care PA is located at 5630 Elbow Ave, Naples, FL 34113. The listed phone number is (239) 206-0115.

What is Renewal Geriatric Primary Care PA's specialty?

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

Is Renewal Geriatric Primary Care PA enrolled in Medicare?

Yes. Renewal Geriatric Primary Care PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renewal Geriatric Primary Care PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Renewal Geriatric Primary Care PA. 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.

When was this NPI record last updated?

The NPPES record for Renewal Geriatric Primary Care PA was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.