Individual provider Active NPI

Alla Batikov, MD

  • Hospitalist Physician
  • Fort Myers, FL
National Provider Identifier
1144360611
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME140545 Issued in FL
Practice address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone
(877) 856-3774
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME.140545 FL
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X ME140545 FL Primary

Addresses

Primary practice location

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other practice location 1

12380 Plaza Dr
Parma, OH 44130-1043
Phone (216) 898-8399 ext. 1250

Other practice location 2

40100 Highway 27
Davenport, FL 33837-5906
Phone (863) 422-4971

Other practice location 3

10000 W Colonial Dr
Ocoee, FL 34761-3400
Phone (321) 843-1378

Other identifiers 2

IdentifierTypeStateIssuer
103223000MedicaidFL
2647612MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141021001118 IL Practitioner - Nurse Practitioner 4183671357 Reassigns benefits to 1 organization
I20190916002364 FL Practitioner - HospitalistPractitioner - Family Practice 4183671357 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

2675 Winkler Ave
Fort Myers, FL 33901-9328

2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328

3434 Hancock Bridge Pkwy
Suite 301
North Fort Myers, FL 33903-7099
Phone (877) 856-3774

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME.140545FLMDFamily Medicine Physician
08145OHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc Multi-Specialty CurrentSince Apr 15, 2021 Accepting new patients
Millennium Physician Group LLC Multi-Specialty CurrentSince Dec 3, 2022 Accepting new patients
Mount Sinai Community Foundation Multi-Specialty CurrentSince Dec 1, 2014 Accepting new patients
Mount Sinai Community Foundation Multi-Specialty Current Accepting new patients
Ridgewood Physician Services, LLC Multi-Specialty CurrentSince Jul 26, 2019 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 15, 2021 Accepting new patients
Millennium Physician Group LLC Multi-Specialty CurrentSince Dec 3, 2022 Accepting new patients
New Family Physicians Associates Inc Multi-Specialty Past Accepting new patients

Locations

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

10000 W Colonial Dr
Ocoee, FL 34761
Phone (321) 843-1378

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

200 Corporate Blvd
Lafayette, LA 70508

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: alla.batikov.1@4290.direct.athenahealth.com

Organizations & group practices 8

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

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1144360611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774",
            "fax_number": "239-599-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12380 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441301043",
            "country_code": "US",
            "telephone_number": "216-898-8399 x1250",
            "fax_number": "216-362-0677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40100 Highway 27",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338375906",
            "country_code": "US",
            "telephone_number": "863-422-4971",
            "fax_number": "863-419-2264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10000 W Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347613400",
            "country_code": "US",
            "telephone_number": "321-843-1378",
            "fax_number": "321-843-5177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATIKOV",
        "first_name": "ALLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME.140545",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME140545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103223000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2647612",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.