Individual provider Active NPI

Viswanathan Nagarajan, MD

  • Infectious Disease Physician
  • Fort Myers, FL
National Provider Identifier
1043285141
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME92706 Issued in FL
Practice address
14192 Metropolis Ave
Fort Myers, FL 33912-4331
Phone
(239) 245-8223
Fax
(239) 244-9481
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME92706 FL
Internal Medicine Physician 207R00000X 207809 NY
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X ME92706 FL Primary

Addresses

Primary practice location

14192 Metropolis Ave
Fort Myers, FL 33912-4331

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 424-1479

Other practice location 1

636 Delprado Blvd S.
Cape Coral, FL 33990-2668
Phone (239) 424-3123

Other identifiers 3

IdentifierTypeStateIssuer
01722265MedicaidNY
020160600MedicaidFL
14C54OtherFLFLORIDA BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110722000606 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 6507034253 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Id Care LLCGroup PAC ID 4587817416, 10 clinicians
SK Raman PAGroup PAC ID 9335316819, 9 clinicians

Practice addresses (Care Compare)

14192 Metropolis Ave
Fort Myers, FL 33912-4331
Phone (239) 245-8223

Hospital & facility affiliations

  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207809NYMDInternal Medicine Physician

Practice roles (6 of 8)

OrganizationSpecialtyStatusNew patients
SK Raman PA Single Specialty CurrentSince Dec 8, 2022 Accepting new patients
Florida Id Care LLC Single Specialty CurrentSince Oct 21, 2021 Accepting new patients
Cape Coral Hospitalists Inc Single Specialty CurrentSince May 1, 2011 Accepting new patients
Orlando Inpatient Medicine, PA Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Solutions Medical Specialists LLC Single Specialty CurrentSince Nov 5, 2024 Accepting new patients
Park Slope Medical Health Provider, PC Single Specialty Past Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

14192 Metropolis Ave
Fort Myers, FL 33912
Phone (239) 244-9560

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1507 S Hiawassee Rd
Ste 206
Orlando, FL 32835
Phone (407) 445-9545

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1043285141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-424-1479",
            "fax_number": "239-424-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14192 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124331",
            "telephone_number": "239-245-8223",
            "fax_number": "239-244-9481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 Delprado Blvd S.",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339902668",
            "country_code": "US",
            "telephone_number": "239-424-3123",
            "fax_number": "239-424-4041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGARAJAN",
        "first_name": "VISWANATHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME92706",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207809",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME92706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01722265",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020160600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "14C54",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.