THERESA BETH SEVILIS (DO) – Neurology Physician, NPI 1407111461

THERESA BETH SEVILIS (DO) is a healthcare provider. based in Fort myers, Florida. specializing in NEUROLOGY. They hold the professional credentials DO. They hold a License No. OS019683 (PA). The NPI Number for THERESA BETH SEVILIS (DO) is 1407111461

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
THERESA BETH SEVILIS (DO)
NPI
1407111461
Phone
(239) 208-2212
Address
9110 COLLEGE POINTE CT
Enumeration Date
5 July 2012
Last Update Date
16 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6318623000
Graduation Year
2011 (15 years ago)
PAC ID
6608191911
Group Practice PAC ID
0941267876
Professional Enrollment ID
I20181219001712
Address ID
NY117871348SM50XXX25AX300
Telehealth
Yes

Contacts

FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Secure Messaging
lschwartz193503@direct.ketteringhealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness95
Years active:13State licenses:13Other names

1,302 NEUROLOGY in OH

Provider Addresses for THERESA BETH SEVILIS (DO)

  • 9110 COLLEGE POINTE CT

    FORT MYERS, FL 339193244

    Phone: (239) 208-2212

    Fax: (239) 208-3994

    Type: Mailing

  • 3535 Southern Blvd

    Kettering, OH 454291221

    Phone: (937) 395-8693

    Fax: (937) 395-8399

    Type: Location

  • 172 Kinsley St

    Nashua, NH 030603648

    Phone: (603) 882-3000

    Fax: (603) 889-3774

    Type: Location

  • 1250 S Cedar Crest Blvd Ste 405

    Allentown, PA 181036224

    Phone: (610) 402-8420

    Type: Location

  • 2790 Clay Edwards Dr Ste 1235

    North Kansas City, MO 641163276

    Phone: (816) 472-5157

    Fax: (816) 472-7201

    Type: Location

  • 11215 METRO PKWY STE 1

    FORT MYERS, FL 339661206

    Phone: (239) 208-2212

    Fax: (239) 208-3994

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 16 Medicare enrollment records; no due dates published yet.

Enrollment records

16

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160907001849INeurologyNCTBD
I20181015003534INeurologyNDTBD
I20181217002404INeurologyTNTBD
I20181219001712INeurologyNYTBD
I20190515002107INeurologyMITBD
I20190619001406INeurologyNHTBD
I20190719000525INeurologyFLTBD
I20190906002772INeurologyWATBD
I20190906002846INeurologyORTBD
I20200203001313INeurologyMTTBD
I20200420002928INeurologyAZTBD
I20200618000667INeurologyIATBD
I20201005002077INeurologyGATBD
I20220916002671INeurologyKYTBD
I20230131003618INeurologyPATBD
I20230929000632INeurologyMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0425Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth8484$0
G0508Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth4342$0
View full utilization report →

Insurance plans in this area (ZIP 33919)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941267876View full group profile
NameSpecialtyState
Psychiatry, Neurology, NephrologyFL
N E U R O L O G YFL
N E U R O L O G YOH
Psychiatry, Addiction MedicineNY
N E U R O L O G YPA
N E U R O L O G YMO
Hospitalist, NeurologyOH
N E U R O L O G YNC
N E U R O L O G YTN
-NY

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up THERESA BETH SEVILIS (DO) by NPI?
Use NPI 1407111461 when you need to reference THERESA BETH SEVILIS (DO) in forms, claims, or directories.
Is THERESA BETH SEVILIS (DO)'s NPI currently valid?
The extract we use shows THERESA BETH SEVILIS (DO) as active.
Does THERESA BETH SEVILIS (DO) list a primary specialty?
If you are matching referrals, note Neurology Physician for THERESA BETH SEVILIS (DO). Clinical services aligned with this taxonomy classification.
Where is THERESA BETH SEVILIS (DO)'s primary listing?
We display Fort Myers, Florida because that is what the record indicates for THERESA BETH SEVILIS (DO).
What if Fort Myers, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.