Individual provider Active NPI

Lalita Chulamokha, MD.

  • Infectious Disease Physician
  • Fort Myers, FL
National Provider Identifier
1326201682
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME171028 Issued in FL
Practice address
9981 S Healthpark Dr Ste 454
Fort Myers, FL 33908-3618
Phone
(239) 343-9710
Fax
(239) 343-4178
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X D0076468 MD
Infectious Disease Physician 207RI0200X ME171028 FL Primary

Addresses

Primary practice location

9981 S Healthpark Dr Ste 454
Fort Myers, FL 33908-3618

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-9710

Other practice location 1

985 Prince Frederick Blvd Ste 201
Prince Frederick, MD 20678-3492
Phone (410) 535-2005

Other identifiers 1

IdentifierTypeStateIssuer
125218800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lchulamokha473129@Direct.leememorial.org Direct LEE HEALTH SYSTEM INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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
I20200424001869 VA Practitioner - Infectious Disease 7012079056 Reassigns benefits to 1 organization
I20250109002850 FL Practitioner - Infectious Disease 7012079056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-6800

Hospital & facility affiliations

  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME171028FLMDInfectious Disease Physician

Practice roles (7 of 9)

OrganizationSpecialtyStatusNew patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Mar 22, 2020 Accepting new patients
Mary Washington Healthcare Physicians Infectious Disease CurrentSince Mar 22, 2020 Accepting new patients
Lee Health System Inc CurrentSince Mar 1, 2025 Accepting new patients
Lee Health System Inc Infectious Disease CurrentSince Mar 1, 2025 Accepting new patients
Glenn G. Marinelli MD PA Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

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

1435 SE 8th Ter
Ste D
Cape Coral, FL 33990
Phone (239) 424-2095

13340 Metro Pkwy
Ste 310
Fort Myers, FL 33966
Phone (239) 343-1448

2780 Cleveland Ave
Ste 809
Fort Myers, FL 33901
Phone (239) 343-9680

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

9981 S Healthpark Dr
Ste 454
Fort Myers, FL 33908
Phone (239) 343-9710

16281 Bass Rd
Ste 100
Fort Myers, FL 33908
Phone (239) 254-4260

1101 Sam Perry Blvd
Ste 307
Fredericksburg, VA 22401
Phone (540) 374-3277

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lchulamokha473129@direct.leememorial.org

Organizations & group practices 7

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 3

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1326201682",
    "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": "239-343-9710",
            "fax_number": "239-343-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9981 S HEALTHPARK DR STE 454",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083618",
            "telephone_number": "239-343-9710",
            "fax_number": "239-343-4178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "985 Prince Frederick Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206783492",
            "country_code": "US",
            "telephone_number": "410-535-2005",
            "fax_number": "410-535-4850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHULAMOKHA",
        "first_name": "LALITA",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D0076468",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME171028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125218800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lchulamokha473129@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "LEE HEALTH SYSTEM INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.