Associates in Nephrology Butcher & Devacaanthan MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

4680129492717 Issued in FL

Legal business name

ASSOCIATES IN NEPHROLOGY BUTCHER & DEVACAANTHAN MD PA

Doing business as

Associates in Nephrology

Practice address

14560 Hope Center Loop
Fort Myers, FL 33912-4711

Phone

(239) 939-0999

Fax

(239) 939-1070

NPI assigned

May 15, 2006

Last updated

Jul 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary M Mouracade, MDNPI 1194776989

Title

MD

Phone

(239) 939-0999

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Associates in Nephrology Doing business as
• Associates in Nephrology Butcher, Caanthan & Delans MD PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 30

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.

• Mary Magno Mouracade, M.D.

  • Nephrology Physician
  • Fort Myers, FL
  • NPI 1194776989
  Medicare reassignment Care Compare group NPD Authorized official
• Katie Rose Anderson, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
  • NPI 1013518414
  Medicare reassignment Care Compare group NPD
• Liliana Benavides Cuesta, APRN

  • Family Nurse Practitioner
  • Port Charlotte, FL
  • NPI 1558247692
  Medicare reassignment Care Compare group NPD
• John Conrey, M.D.

  • Nephrology Physician
  • Fort Myers, FL
  • NPI 1114978715

  Specialist

  Medicare reassignment Care Compare group NPD
• Peggy Drew Depalma, NP

  • Gerontology Nurse Practitioner
  • Fort Myers, FL
  • NPI 1790420511
  Medicare reassignment Care Compare group NPD
• Sourab Dhungel, MD

  • Nephrology Physician
  • Fort Myers, FL
  • NPI 1700070125
  Medicare reassignment Care Compare group NPD
• Yuliet Garcia, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
  • NPI 1861378259
  Medicare reassignment Care Compare group NPD
• Tamim Ghith, MD

  • Nephrology Physician
  • Fort Myers, FL
  • NPI 1760658959

  Specialist

  Medicare reassignment Care Compare group NPD
• Dina Haroun, MD

  • Nephrology Physician
  • Fort Myers, FL
  • NPI 1790308427
  Medicare reassignment Care Compare group NPD
• Syeda Sumera Khan, MD

  • Nephrology Physician
  • Fort Myers, FL
  • NPI 1457554529

  Specialist

  Medicare reassignment Care Compare group NPD
• Neetu Malhotra, M.D,

  • Nephrology Physician
  • Fort Myers, FL
  • NPI 1528254059
  Medicare reassignment Care Compare group NPD
• Gautham Mogilishetty, M.D.

  • Nephrology Physician
  • Lehigh Acres, FL
  • NPI 1649237314
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1437100146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14560 HOPE CENTER LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124711",
            "telephone_number": "239-939-0999",
            "fax_number": "239-939-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14560 HOPE CENTER LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124711",
            "telephone_number": "239-939-0999",
            "fax_number": "239-939-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN NEPHROLOGY BUTCHER & DEVACAANTHAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "MOURACADE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "239-939-0999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "4680129492717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060544100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associates in Nephrology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Associates in Nephrology Butcher, Caanthan & Delans MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Associates in Medical Rehabilitation P.a.
• Associates in Medicine & Surgery LLC (Southwest Florida Ankle & Footcare Specialists)
• Associates in Medicine & Surgery LLC
• Associates in Medicine & Surgery LLC
• Associates in Neonatology, P.a.
• Associates in Neurological Care of Lee County
• Association of Ophthalmology
• Jacquelyn Ann Asteberg, PTA
• Anthony Aswad, DO
• Stephanie Atallah

• Specialist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.