Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Thomas Puthusseril, CAA

Individual provider Anesthesiologist Assistant · NPI 1821671751

Justin Thomas Puthusseril, CAA is an Anesthesiology Assistant in Fort Myers, Florida. Qualified in 2021, 5 years ago. Practices with Baycare Medical Group, Inc, a 1,530-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone: (239) 343-2000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA676 (FL)

Record details

NPI number1821671751
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorYes
NPI enumeratedApril 29, 2021
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Baycare Medical Group, Inc. — 1530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fort Myers