Prestige Outpatient Providers, LLC
NPI 1124599824 · Internal Medicine Physician · Naples, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prestige Outpatient Providers, LLC is a Internal Medicine Physician organization in Naples, FL (NPI 1124599824).
Provider details
- NPI number
- 1124599824
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Oksana Rustamova, Credentialing Specialist(646) 517-1257
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
7 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
- 2018-12-07
- Last updated
- 2018-12-21
Frequently asked questions
- What is Prestige Outpatient Providers, LLC's NPI number?
- Prestige Outpatient Providers, LLC's National Provider Identifier (NPI) is 1124599824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prestige Outpatient Providers, LLC?
- Prestige Outpatient Providers, LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prestige Outpatient Providers, LLC located?
- Prestige Outpatient Providers, LLC's practice location on file with NPPES is 2338 Immokalee Rd # 186, Naples, FL 34110-1445.
- What is Prestige Outpatient Providers, LLC's phone number?
- The practice phone number listed in the NPPES registry for Prestige Outpatient Providers, LLC is (239) 330-2933.
- Does Prestige Outpatient Providers, LLC accept Medicare?
- Prestige Outpatient Providers, 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 Prestige Outpatient Providers, LLC?
- The authorized official listed on Prestige Outpatient Providers, LLC's NPPES record is Oksana Rustamova, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prestige Outpatient Providers, LLC's NPI active?
- Yes — Prestige Outpatient Providers, LLC's NPI (1124599824) is active in the NPPES registry as of the last update on 2018-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.