Individual provider Active NPI

Anand Raj Mahadevan, MD

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1245238245
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME86995 Issued in FL
Practice address
13607 Pine Villa LN
Fort Myers, FL 33912-1617
Phone
(239) 887-7372
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME86995 FL Primary

Addresses

Primary practice location

13607 Pine Villa LN
Fort Myers, FL 33912-1617

Mailing address

13607 Pine Villa LN
Fort Myers, FL 33912-1617
Phone (239) 887-7372

Other identifiers 1

IdentifierTypeStateIssuer
269969900MedicaidFL

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
I20040810000929 FL Practitioner - Internal Medicine 7113914953 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M and H Med Housecalls LLCGroup PAC ID 2961750146, 24 clinicians
Inpatient Care Specialists LLCGroup PAC ID 0345493623, 101 clinicians

Practice addresses (Care Compare)

1407 Viscaya Pkwy
Suite 2
Cape Coral, FL 33990-6200
Phone (407) 647-2346

151 E Minnehaha Ave
Clermont, FL 34711-3424
Phone (407) 473-3716

502 W Highland Blvd
Inverness, FL 34452-4720
Phone (407) 647-2346

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (407) 647-2346

Hospital & facility affiliations

  • Home Health by Gulf Coast Village Home health agency, Cape Coral, FL, CCN 108114
  • Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176
  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Amedisys Home Health Home health agency, Port Charlotte, FL, CCN 108270
  • Empath Home Health Home health agency, Fort Myers, FL, CCN 109786
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Hendry Regional Medical Center Hospital, Clewiston, FL, CCN 101309
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Select Specialty Hospital-Fort Myers Long-term care hospital, Fort Myers, FL, CCN 102029
  • The Preserve Nursing home, Fort Myers, FL, CCN 106137
  • Gulf Coast Village Nursing home, Cape Coral, FL, CCN 105672
  • Clermont Health and Rehabilitation Center Nursing home, Clermont, FL, CCN 105512
  • Vivo Healthcare Clewiston Nursing home, Clewiston, FL, CCN 105462
  • Labelle Health and Rehabilitation Center Nursing home, Labelle, FL, CCN 105683

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Mississippi-TCG, Inc. Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Inpatient Care Specialists LLC CurrentSince Mar 13, 2023 Accepting new patients
M & H Med Housecalls, LLC Internal Medicine CurrentSince Mar 29, 2018 Accepting new patients
Truecare Medical Associates PLLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Lee Health System Inc Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Lee Memorial Health System Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Value Based Medical Solutions LLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2024 Accepting new patients
Cogent Healthcare of Pensacola LLC Family Medicine Current Accepting new patients
Lee Memorial Health System CurrentSince Mar 1, 2022 Accepting new patients
Central Florida Inpatient Medicine LLC Internal Medicine CurrentSince Feb 25, 2019 Accepting new patients
Cape Coral Hospitalists Inc Internal Medicine CurrentSince Sep 6, 2006 Accepting new patients
Bhairavi Devi LLC Internal Medicine CurrentSince Jul 8, 2025 Accepting new patients
Solutions Medical Specialists LLC CurrentSince Aug 1, 2024 Accepting new patients
Internal Medicine Associates of Lee County Hospitalist Group, LLC Past Accepting new patients
Midwest Hospital Specialists, P.a. Internal Medicine Past Accepting new patients
Internal Medicine Associates of Lee County MD PA Internal Medicine PastSince Aug 1, 2012 Accepting new patients

Locations

305 E Oak St
Apopka, FL 32703
Phone (407) 880-2265

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

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

1407 Viscaya Pkwy
Ste 2
Cape Coral, FL 33990
Phone (239) 772-0111

650 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 343-2606

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

151 E Minnehaha Ave
Clermont, FL 34711
Phone (352) 394-2188

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

13881 Eagle Ridge Dr
Fort Myers, FL 33912
Phone (239) 495-4000

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

2525 First St
Fort Myers, FL 33901
Phone (239) 332-3333

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

7985 State Road 50
#D100
Groveland, FL 34736
Phone (352) 223-1457

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

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

701 Lake Port Blvd
Leesburg, FL 34748
Phone (352) 728-3366

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

3400 N Highway 19A
Mount Dora, FL 32757
Phone (239) 440-2091

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gulf Coast VillageCape Coral, FL, CCN 105672 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 1, 2020
Jun 1, 2020
The PreserveFort Myers, FL, CCN 106137 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 1, 2020
Jan 31, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1245238245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13607 PINE VILLA LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121617",
            "telephone_number": "239-887-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13607 PINE VILLA LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121617",
            "telephone_number": "239-887-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHADEVAN",
        "first_name": "ANAND",
        "middle_name": "RAJ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME86995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269969900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.