NPIMap

Organization Active NPI

Cape Coral Hospitalists Inc

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1336209790
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME86995 Issued in FL
Legal business name
CAPE CORAL HOSPITALISTS INC
Practice address
13607 Pine Villa LN
Fort Myers, FL 33912-1617
Phone
(239) 938-6192
NPI assigned
Dec 8, 2006
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Anand Raj Mahadevan, MDNPI 1245238245
Title
President
Phone
(239) 938-6192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

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

525 Technology Park Ste 109
Lake Mary, FL 32746-7107
Phone (239) 938-6192

Other identifiers 1

IdentifierTypeStateIssuer
269969900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070221000345 FL Part B Supplier - Clinic/Group Practice 2961504923 Receives reassigned benefits from 149 practitioners
Practice locations: Cape Coral, FL; Fort Myers, FL; Ft Myers, FL; Naples, FL

National Provider Directory

National Provider Directory

Locations

2727 Winkler Ave
Fl Rmc
Fort Myers, FL 33901
Phone (239) 433-7799

Practitioners & affiliated clinicians

Practitioners 167

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 167

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1336209790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TECHNOLOGY PARK STE 109",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467107",
            "telephone_number": "239-938-6192",
            "fax_number": "239-424-4041"
        },
        {
            "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": "239-938-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE CORAL HOSPITALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "MAHADEVAN",
        "authorized_official_first_name": "ANAND",
        "authorized_official_middle_name": "RAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-938-6192",
        "authorized_official_credential": "MD"
    },
    "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 Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.