Renewal Geriatric Primary Care PA
NPI 1831661222 · Internal Medicine Physician · Naples, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renewal Geriatric Primary Care PA is a Internal Medicine Physician organization in Naples, FL (NPI 1831661222).
Provider details
- NPI number
- 1831661222
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nana Mimura, Owner(239) 206-0115
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
- 2018-12-22
- Last updated
- 2025-09-23
- Certified
- 2025-09-23
Frequently asked questions
- What is Renewal Geriatric Primary Care PA's NPI number?
- Renewal Geriatric Primary Care PA's National Provider Identifier (NPI) is 1831661222, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renewal Geriatric Primary Care PA?
- Renewal Geriatric Primary Care PA is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Renewal Geriatric Primary Care PA located?
- Renewal Geriatric Primary Care PA's practice location on file with NPPES is 5630 Elbow Ave, Naples, FL 34113-8395.
- What is Renewal Geriatric Primary Care PA's phone number?
- The practice phone number listed in the NPPES registry for Renewal Geriatric Primary Care PA is (239) 206-0115.
- Does Renewal Geriatric Primary Care PA accept Medicare?
- Renewal Geriatric Primary Care PA 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 Renewal Geriatric Primary Care PA?
- The authorized official listed on Renewal Geriatric Primary Care PA's NPPES record is Nana Mimura, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renewal Geriatric Primary Care PA's NPI active?
- Yes — Renewal Geriatric Primary Care PA's NPI (1831661222) is active in the NPPES registry as of the last update on 2025-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.