Individual provider Active NPI

Yelena Vidgop, MD

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1336300771
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME 115465 Issued in FL
Practice address
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
Fax
(239) 208-3994
NPI assigned
Jun 18, 2008
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301114222 MI
Neurology Physician 2084N0400X MD468456 PA
Neurology Physician 2084N0400X 296846 NY
Neurology Physician 2084N0400X ME115465 FL
Neurology Physician 2084N0400X MD.60803515 WA
Neurology Physician 2084N0400X 2020003927 MO
Neurology Physician 2084N0400X ME 115465 FL Primary
Neurology Physician 2084N0400X MD186189 OR
Neurology Physician 2084N0400X 35.132438 OH
Neurology Physician 2084N0400X R9555 TX
Neurology Physician 2084N0400X 25796 MS
Neurology Physician 2084N0400X 18762 NH
Neurology Physician 2084N0400X 15020 ND
Hospitalist Physician 208M00000X ME115465 FL

Addresses

Primary practice location

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206

Mailing address

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2212

Other practice location 1

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 882-3000

Other practice location 2

1250 S Cedar Crest Blvd Ste 405
Allentown, PA 18103-6224
Phone (610) 402-8420

Other practice location 3

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Other practice location 4

2790 Clay Edwards Dr Ste 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

Other identifiers 1

IdentifierTypeStateIssuer
3115380MedicaidNH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address yvidgop602454@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ND, OR, WA, AZ, NH, MI, MT, NY, IA, GA, KY, PA, MO14 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 14

Enrollment IDStateProvider typePAC IDDetails
I20130911000807 FL Practitioner - Neurology 0941444095 Reassigns benefits to 15 organizations
I20180612002037 ND Practitioner - Neurology 0941444095 Reassigns benefits to 2 organizations
I20180717002142 OR Practitioner - Neurology 0941444095 Reassigns benefits to 2 organizations
I20180720000946 WA Practitioner - Neurology 0941444095 Reassigns benefits to 1 organization
I20190110001200 AZ Practitioner - Neurology 0941444095 Reassigns benefits to 1 organization
I20190116003065 NH Practitioner - Neurology 0941444095 Reassigns benefits to 4 organizations
I20190515002193 MI Practitioner - Neurology 0941444095 Reassigns benefits to 1 organization
I20200121000380 MT Practitioner - Neurology 0941444095 Reassigns benefits to 1 organization
I20200430002052 NY Practitioner - Neurology 0941444095 Reassigns benefits to 3 organizations
I20200618000686 IA Practitioner - Neurology 0941444095
I20200928001489 GA Practitioner - Neurology 0941444095 Reassigns benefits to 3 organizations
I20220915002838 KY Practitioner - Neurology 0941444095 Reassigns benefits to 1 organization
I20230227002900 PA Practitioner - Neurology 0941444095 Reassigns benefits to 1 organization
I20231013001753 MO Practitioner - Neurology 0941444095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeland Medical PracticesGroup PAC ID 1658427042, 286 clinicians
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Telespecialists North Carolina Neurology Services PLLCGroup PAC ID 7719348978, 28 clinicians
Virtual Neurology Kansas LLCGroup PAC ID 9436694270, 47 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
Summit Healthcare AssociationGroup PAC ID 3779568647, 78 clinicians
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8300

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

2191 Quail Roost Dr
Weston, FL 33327-1445
Phone (239) 208-2212

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

246 Pleasant St
Concord, NH 03301-2548
Phone (603) 228-7200

2790 Clay Edwards Dr
Suite 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

35 Collier Rd NW
Suite 635
Atlanta, GA 30309-1611
Phone (404) 367-3000

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-2819

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-5275

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 115465FLMDNeurology Physician
4301114222MIMDNeurology Physician
2020003927MOMDNeurology Physician
15020NDMDNeurology Physician
18762NHMDNeurology Physician
296846NYMDNeurology Physician
MD468456PAMDNeurology Physician
R9555TXMDNeurology Physician
MD.60803515WAMDNeurology Physician
ME115465FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Neurology CurrentSince Sep 11, 2023 Accepting new patients
Nchmd, Inc CurrentSince Apr 1, 2023 Accepting new patients
Altru Health System Current Accepting new patients
Concord Hospital-Laconia CurrentSince Jun 1, 2022 Accepting new patients
St Alexius Medical Center CurrentSince Sep 7, 2019 Accepting new patients
Summit Healthcare Association CurrentSince Nov 1, 2018 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Sep 15, 2019 Accepting new patients
Mercy Medical Center CurrentSince May 17, 2025 Accepting new patients
Altru Health System CurrentSince May 5, 2018 Accepting new patients
Concord Hospital, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Summit Healthcare Association Neurology CurrentSince Nov 1, 2018 Accepting new patients
Altru Health System CurrentSince May 5, 2018 Accepting new patients
St. Catherine of Siena Medical Center CurrentSince Mar 28, 2020 Accepting new patients
Concord Hospital, Inc. CurrentSince Oct 1, 2020 Accepting new patients
St. Alexius Medical Center CurrentSince Sep 7, 2019 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 27, 2022 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 27, 2022 Accepting new patients
Telespecialists North Carolina Neurology Services PLLC Neurology CurrentSince Aug 17, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Apr 15, 2020 Accepting new patients
Virtual Neurology PC Neurology CurrentSince Apr 3, 2024 Accepting new patients
DCHD Health Care Professionals LLC CurrentSince May 22, 2019 Accepting new patients
Legacy Salmon Creek Hospital Hospitalist CurrentSince Jun 24, 2018 Accepting new patients
North Mississippi Medical Center Inc. Neurology CurrentSince Aug 17, 2024 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Sep 15, 2019 Accepting new patients
Lehigh Valley Physician Group Neurology Current Accepting new patients
St Charles Hospital Corp CurrentSince Apr 2, 2025 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Lakeland Medical Practices CurrentSince Apr 8, 2019 Accepting new patients
Piedmont Hospitalist Physicians LLC Hospitalist CurrentSince Aug 1, 2020 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Mar 28, 2020 Accepting new patients
Lakeland Medical Practices CurrentSince Apr 8, 2019 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Aug 1, 2020 Accepting new patients
Meritas Health Corporation Neurology CurrentSince Sep 11, 2023 Accepting new patients
Silverton Health Current Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Lee Health System Inc CurrentSince Jan 13, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jun 24, 2018 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Legacy Clinics LLC CurrentSince Jun 24, 2018 Accepting new patients
Benefis Hospitals Inc CurrentSince Jan 1, 2020 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Hospitalist CurrentSince Aug 1, 2020 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Nchmd Inc CurrentSince Apr 1, 2023 Accepting new patients
Silverton Health CurrentSince Jun 14, 2023 Accepting new patients
Silverton Health CurrentSince Jun 14, 2023 Accepting new patients
Upson Medical Associates LLC CurrentSince Aug 23, 2024 Accepting new patients
Benefis Hospitals, Inc. CurrentSince Jan 1, 2020 Accepting new patients
St. Joseph Hospital CurrentSince Mar 28, 2020 Accepting new patients
Legacy Clinics LLC Hospitalist CurrentSince Jun 24, 2018 Accepting new patients
Baptist Health Medical Group Inc Neurology Current Accepting new patients
Lee Health System Inc CurrentSince Jan 13, 2025 Accepting new patients
Virtual Neurology New Jersey LLC Neurology CurrentSince Feb 28, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Lee Memorial Health System CurrentSince Apr 15, 2020 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
North Mississippi Medical Center Inc Neurology Past Accepting new patients

Locations (25 of 56)

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

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

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

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

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

9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206

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

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

9151 NE 81st Ter
Ste 220
Kansas City, MO 64158
Phone (816) 453-4000

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

2790 Clay Edwards Dr
#1235
North Kansas City, MO 64116
Phone (816) 472-5157

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: yvidgop@crhn.cernerdirect.com
  • Direct secure messaging: yvidgop230553@santaclaravalley.direct-ci.net
  • Direct secure messaging: yvidgop33043@lakeland.midirect.net
  • Direct secure messaging: yvidgop4030744@direct.trinity-health.org
  • Direct secure messaging: yvidgop573261@direct.emplifyhealth.org
  • Direct secure messaging: yvidgop602454@direct.ketteringhealth.org
  • Direct secure messaging: yvidgop71903@epicdirect.hf.org

Organizations & group practices 63

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.

View all 63

Hospital & facility affiliations 6

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1336300771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212",
            "fax_number": "239-208-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212",
            "fax_number": "239-208-3994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "172 Kinsley St",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030603648",
            "country_code": "US",
            "telephone_number": "603-882-3000",
            "fax_number": "603-889-3774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 S Cedar Crest Blvd Ste 405",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036224",
            "country_code": "US",
            "telephone_number": "610-402-8420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Eaton Ave",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450132767",
            "country_code": "US",
            "telephone_number": "513-867-2000",
            "fax_number": "513-867-2119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2790 Clay Edwards Dr Ste 1235",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163276",
            "country_code": "US",
            "telephone_number": "816-472-5157",
            "fax_number": "816-472-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDGOP",
        "first_name": "YELENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301114222",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD468456",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "296846",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME115465",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD.60803515",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2020003927",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME 115465",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD186189",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.132438",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "R9555",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "25796",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NH",
            "license": "18762",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ND",
            "license": "15020",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME115465",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3115380",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yvidgop602454@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "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.