NPIMap

Individual provider Active NPI

Ankush Gulati, M.D

  • Nephrology Physician
  • Lehigh Acres, FL
National Provider Identifier
1265445654
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME85821 Issued in FL
Practice address
3227 Lee Blvd
Unit 4
Lehigh Acres, FL 33971-1428
Phone
(239) 303-2820
Fax
(239) 303-2511
NPI assigned
Aug 15, 2006
Last updated
Sep 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME85821 FL Primary

Addresses

Primary practice location

3227 Lee Blvd
Unit 4
Lehigh Acres, FL 33971-1428

Mailing address

3227 Lee Blvd
Unit 4
Lehigh Acres, FL 33971-1428
Phone (239) 303-2820

Other identifiers 1

IdentifierTypeStateIssuer
47840OtherFLBCBSFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071018000578 FL Practitioner - Nephrology 1052407202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Kidney Partners LLPGroup PAC ID 7012981350, 63 clinicians

Practice addresses (Care Compare)

26381 S Tamiami TRL
Suite 122
Bonita Springs, FL 34134-7803
Phone (239) 236-2013

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85821FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Kidney Partners, LLP Nephrology CurrentSince May 5, 2021 Accepting new patients
Fort Myers Kidney Center LLC PastSince Oct 1, 2007 Accepting new patients

Locations

26381 S Tamiami Trl
Ste 122
Bonita Springs, FL 34134
Phone (239) 236-2013

2735 Santa Barbara Blvd
Cape Coral, FL 33914
Phone (239) 236-2013

14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418

50 N Bridge St
Labelle, FL 33935
Phone (239) 236-2013

3227 Lee Blvd
Unit 5
Lehigh Acres, FL 33971
Phone (239) 236-2013

300 NW 70th Ave
Ste 302
Plantation, FL 33317
Phone (954) 673-1525

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: agulati78973@direct.acumenmd.com

Organizations & group practices 2

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 7

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1265445654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 LEE BLVD",
            "address_2": "UNIT 4",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711428",
            "telephone_number": "239-303-2820",
            "fax_number": "239-303-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 LEE BLVD",
            "address_2": "UNIT 4",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711428",
            "telephone_number": "239-303-2820",
            "fax_number": "239-303-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULATI",
        "first_name": "ANKUSH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME85821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "47840",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.