Jeffrey Innis, MD
Jeffrey Innis, MD is a Clinical Molecular Genetics Physician in Estero, FL, registered under NPI 1053321679. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 23450 VIA COCONUT PT, Estero, FL 34135. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| ME152778 | FL | Clinical Molecular Genetics Physician primary |
| 4301058671 | MI | Clinical Genetics (M.D.) Physician |
| 4301058671 | MI | Pediatrics Physician |
Licences are recorded in 2 states: FL, MI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Medical Genetics And Genomics
- PAC ID
- 6800987819
- Enrollment ID
- I20220222001112
Medicare enrolment is recorded as approved under the provider type Practitioner - Medical Genetics And Genomics. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Florida and Michigan. The practice address on file is in Estero, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- ME152778
- Specialty
- Clinical Molecular Genetics Physician
- Licence
- 4301058671
- Specialty
- Clinical Genetics (M.D.) Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Clinical Molecular Genetics covers
A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders. NUCC Health Care Provider Taxonomy, code 207SG0203X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207SG0203X | Clinical Molecular Genetics Physician Clinical Molecular Genetics | ME152778 | FL | primary |
| 207SG0201X | Clinical Genetics (M.D.) Physician Clinical Genetics (M.D.) | 4301058671 | MI | |
| 208000000X | Pediatrics Physician | 4301058671 | MI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1053321679 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 8, 2006 |
| Last updated | Apr 4, 2022 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
23450 VIA COCONUT PT Estero, FL 34135 (239) 468-0210 Fax (239) 343-4236 |
| Mailing address |
PO BOX 2147 Fort Myers, FL 33902 |
| Other identifiers |
113233700
· Medicaid (FL) 2774825 · Medicaid (MI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 5 | 3 | 3 | 2 | 1 | 6 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 1 | 3 | 6 | 2 | 2 | 6 | 5 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.