Active NPI
Yelena Vidgop, MD
- Neurology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME 115465
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3115380 | Medicaid | NH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 14
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME 115465 | FL | MD | Neurology Physician |
| 4301114222 | MI | MD | Neurology Physician |
| 2020003927 | MO | MD | Neurology Physician |
| 15020 | ND | MD | Neurology Physician |
| 18762 | NH | MD | Neurology Physician |
| 296846 | NY | MD | Neurology Physician |
| MD468456 | PA | MD | Neurology Physician |
| R9555 | TX | MD | Neurology Physician |
| MD.60803515 | WA | MD | Neurology Physician |
| ME115465 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritas Health Corporation | Neurology | Current | Accepting new patients |
| Nchmd, Inc | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Concord Hospital-Laconia | Current | Accepting new patients | |
| St Alexius Medical Center | Current | Accepting new patients | |
| Summit Healthcare Association | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Concord Hospital, Inc. | Current | Accepting new patients | |
| Summit Healthcare Association | Neurology | Current | Accepting new patients |
| Altru Health System | Current | Accepting new patients | |
| St. Catherine of Siena Medical Center | Current | Accepting new patients | |
| Concord Hospital, Inc. | Current | Accepting new patients | |
| St. Alexius Medical Center | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Telespecialists North Carolina Neurology Services PLLC | Neurology | Current | Accepting new patients |
| Lee Memorial Health System | Current | Accepting new patients | |
| Virtual Neurology PC | Neurology | Current | Accepting new patients |
| DCHD Health Care Professionals LLC | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Hospitalist | Current | Accepting new patients |
| North Mississippi Medical Center Inc. | Neurology | Current | Accepting new patients |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Neurology | Current | Accepting new patients |
| St Charles Hospital Corp | Current | Accepting new patients | |
| Good Samaritan Hospital Medical Center | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Piedmont Hospitalist Physicians LLC | Hospitalist | Current | Accepting new patients |
| Good Samaritan Hospital Medical | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Piedmont Athens Hospitalist Physicians LLC | Current | Accepting new patients | |
| Meritas Health Corporation | Neurology | Current | Accepting new patients |
| Silverton Health | Current | Accepting new patients | |
| Columbus Ambulatory Healthcare Services, Inc. | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Concord Hospital-Franklin | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Benefis Hospitals Inc | Current | Accepting new patients | |
| Columbus Ambulatory Healthcare Services, Inc. | Hospitalist | Current | Accepting new patients |
| Meritas Health Corporation | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Upson Medical Associates LLC | Current | Accepting new patients | |
| Benefis Hospitals, Inc. | Current | Accepting new patients | |
| St. Joseph Hospital | Current | Accepting new patients | |
| Legacy Clinics LLC | Hospitalist | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Neurology | Current | Accepting new patients |
| Lee Health System Inc | Current | Accepting new patients | |
| Virtual Neurology New Jersey LLC | Neurology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Lee Memorial Health System | Current | 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
- yvidgop@crhn.cernerdirect.com
- yvidgop230553@santaclaravalley.direct-ci.net
- yvidgop33043@lakeland.midirect.net
- yvidgop4030744@direct.trinity-health.org
- yvidgop573261@direct.emplifyhealth.org
- yvidgop602454@direct.ketteringhealth.org
- 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.
-
- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
- Neurology Physician
- Fort Myers, FL
- NPI 1245926138
-
dba Concord Hospital-Laconia Professional Billing Service
- Family Medicine Physician
- Laconia, NH
- NPI 1053993741
-
dba Concord Hospital Medical Associates
- Emergency Medicine Physician
- Concord, NH
- NPI 1194778571
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1548219660
Hospitalist
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
-
dba Summit Healthcare Regional Medical Center
- Rural Acute Care Hospital
- Show Low, AZ
- NPI 1144209271
Neurology
-
- Neurology Physician
- Fort Myers, FL
- NPI 1942922687
-
- Neurology Physician
- Fort Myers, FL
- NPI 1760940167
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba HCA Florida Bayonet Point Hospital
- General Acute Care Hospital
- Hudson, FL
- NPI 1992759419
-
dba Christus Shreveport-Bossier Health System
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
dba Loris Community Hospital
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.