Active NPI
Anand Raj Mahadevan, MD
- Internal Medicine Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME86995
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269969900 | Medicaid | FL |
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
Enrollment records 1
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
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
- Patients First Home Care LLC
- Preferred Care Home Health Services
- Amedisys Home Health
- Empath Home Health
- Vitas Healthcare Corporation of Florida
- Adventhealth Ocala
- Naples Community Hospital
- Cape Coral Hospital
- Hendry Regional Medical Center
- Lee Memorial Hospital
- Select Specialty Hospital-Fort Myers
- The Preserve
- Gulf Coast Village
- Clermont Health and Rehabilitation Center
- Vivo Healthcare Clewiston
- Labelle Health and Rehabilitation Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Mississippi-TCG, Inc. | Family Medicine | Current | Accepting new patients |
| Inpatient Care Specialists LLC | Current | Accepting new patients | |
| M & H Med Housecalls, LLC | Internal Medicine | Current | Accepting new patients |
| Truecare Medical Associates PLLC | Family Medicine | Current | Accepting new patients |
| Cogent Healthcare of Pensacola LLC | Internal Medicine | Current | Accepting new patients |
| Lee Health System Inc | Family Medicine | Current | Accepting new patients |
| Lee Memorial Health System | Family Medicine | Current | Accepting new patients |
| Cogent Healthcare of Pensacola LLC | Internal Medicine | Current | Accepting new patients |
| Value Based Medical Solutions LLC | Internal Medicine | Current | Accepting new patients |
| Lee Health System Inc | Current | Accepting new patients | |
| Cogent Healthcare of Pensacola LLC | Family Medicine | Current | Accepting new patients |
| Lee Memorial Health System | Current | Accepting new patients | |
| Central Florida Inpatient Medicine LLC | Internal Medicine | Current | Accepting new patients |
| Cape Coral Hospitalists Inc | Internal Medicine | Current | Accepting new patients |
| Bhairavi Devi LLC | Internal Medicine | Current | Accepting new patients |
| Solutions Medical Specialists LLC | Current | 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 | Past | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Gulf Coast Village | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jun 1, 2020 Jun 1, 2020 |
| The Preserve | 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.
-
- Assisted Living Facility
- Cape Coral, FL
- NPI 1962403287
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Ft. Myers, FL
- NPI 1609351899
Adp of the SNF, Operational/Managerial Control
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1427548304
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1336209790
-
- Hospitalist Physician
- Lake Mary, FL
- NPI 1679817134
-
- Internal Medicine Physician
- Lake Mary, FL
- NPI 1649228859
-
- Internal Medicine Physician
- Jacksonville Beach, FL
- NPI 1346287182
Family Medicine
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
Family Medicine
-
- Infectious Disease Physician
- Lake Mary, FL
- NPI 1477397875
-
- Family Medicine Physician
- Groveland, FL
- NPI 1790456101
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1386122877
Family Medicine, FL
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1902287899
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Clewiston, FL
- NPI 1174999478
Nursing home
-
- General Acute Care Hospital
- Ocala, FL
- NPI 1740772268
-
- Home Health Agency
- Cape Coral, FL
- NPI 1215938535
-
- Critical Access Hospital
- Clewiston, FL
- NPI 1215960315
-
- Home Health Agency
- Port Charlotte, FL
- NPI 1043392038
-
- Home Health Agency
- Fort Myers, FL
- NPI 1659675106
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
-
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
-
- Skilled Nursing Facility
- Clermont, FL
- NPI 1376547091
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.