Blueshine Medical Center LLC
NPI 1053138099 · General Practice Physician · Cape Coral, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blueshine Medical Center LLC is a General Practice Physician organization in Cape Coral, FL (NPI 1053138099).
Provider details
- NPI number
- 1053138099
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jose Cevallos, Provider(305) 790-6544
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-09-23
- Last updated
- 2024-09-23
- Certified
- 2024-09-22
Frequently asked questions
- What is Blueshine Medical Center LLC's NPI number?
- Blueshine Medical Center LLC's National Provider Identifier (NPI) is 1053138099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blueshine Medical Center LLC?
- Blueshine Medical Center LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Blueshine Medical Center LLC located?
- Blueshine Medical Center LLC's practice location on file with NPPES is 140 Santa Barbara Blvd Ste 121, Cape Coral, FL 33991-2160.
- What is Blueshine Medical Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Blueshine Medical Center LLC is (305) 790-6544.
- Does Blueshine Medical Center LLC accept Medicare?
- Blueshine Medical Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blueshine Medical Center LLC?
- The authorized official listed on Blueshine Medical Center LLC's NPPES record is Jose Cevallos, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blueshine Medical Center LLC's NPI active?
- Yes — Blueshine Medical Center LLC's NPI (1053138099) is active in the NPPES registry as of the last update on 2024-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.