Individual provider Active NPI

Anjana M Chaudhari, M.D.

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1407921885
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME116562 Issued in FL
Practice address
13774 Plantation Rd Ste 100
Fort Myers, FL 33912-4461
Phone
(239) 236-7777
Fax
(239) 245-7028
NPI assigned
Nov 21, 2006
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME116562 FL Primary

Addresses

Primary practice location

13774 Plantation Rd Ste 100
Fort Myers, FL 33912-4461

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other identifiers 1

IdentifierTypeStateIssuer
012600400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140816000160 FL Practitioner - Family Practice 4880785864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364

11181 Health Park Blvd
Naples, FL 34110-5743

126 Del Prado Blvd N
Cape Coral, FL 33909-2713

12995 S Cleveland Ave
Suite 184
Fort Myers, FL 33907-7703
Phone (239) 939-2201

13691 Metro Pkwy
Fort Myers, FL 33912-4322

13774 Plantation Rd
Fort Myers, FL 33912-4461

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343

150 W McKenzie St
Punta Gorda, FL 33950-5500
Phone (941) 621-6476

2675 Winkler Ave
Fort Myers, FL 33901-9328

2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328

3434 Hancock Bridge Pkwy
Suite 301
North Fort Myers, FL 33903-7099
Phone (877) 856-3774

3571 Del Prado Blvd N
Suite 2
Cape Coral, FL 33909-5287
Phone (239) 656-6300

400 8TH St N
Naples, FL 34102-5519
Phone (239) 261-5511

4316 Lee Blvd
Lehigh Acres, FL 33971-1735
Phone (239) 368-7744

4881 Palm Beach Blvd
Suite 100
Fort Myers, FL 33905-3217
Phone (239) 693-9191

60 W Minister St N
Suite C
Lehigh Acres, FL 33936-6518
Phone (806) 553-3637

60 Westminster St N
Suite G
Lehigh Acres, FL 33936-6518
Phone (239) 491-0233

8380 Riverwalk Park Blvd
Fort Myers, FL 33919-8758

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME116562FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Sep 1, 2019 Accepting new patients

Locations

13691 Metro Pkwy
Ste 330
Fort Myers, FL 33912
Phone (239) 310-5307

13774 Plantation Rd
Ste 100
Fort Myers, FL 33912
Phone (239) 236-7777

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

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

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: anjana.chaudhari.1@4290.direct.athenahealth.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 4

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1407921885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13774 PLANTATION RD STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124461",
            "telephone_number": "239-236-7777",
            "fax_number": "239-245-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARI",
        "first_name": "ANJANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME116562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012600400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.