Individual provider Active NPI

Syeda Sumera Khan, MD

  • Nephrology Physician
  • Fort Myers, FL
National Provider Identifier
1457554529
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME98271 Issued in FL
Practice address
14560 Hope Center Loop
Fort Myers, FL 33912-4711
Phone
(239) 939-0999
Fax
(239) 939-1070
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME98271 FL
Nephrology Physician 207RN0300X ME98271 FL Primary

Addresses

Primary practice location

14560 Hope Center Loop
Fort Myers, FL 33912-4711

Mailing address

14560 Hope Center Loop
Fort Myers, FL 33912-4711
Phone (239) 939-0999

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
I20071219000165 FL Practitioner - Nephrology 8022101823 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98271FLMDSpecialist

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Associates in Nephrology Butcher & Devacaanthan MD PA Specialist CurrentSince Dec 1, 2007 Accepting new patients
Mogilishetty PLLC Nephrology PastSince Nov 13, 2022 Accepting new patients

Locations

9550 Bonita Beach Rd SE
Ste 108
Bonita Springs, FL 34135
Phone (239) 444-1919

1320 SE 8th St
Cape Coral, FL 33990

14560 Hope Center Loop
Fort Myers, FL 33912
Phone (239) 939-1099

7981 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 425-6633

3400 Lee Blvd
Ste 112
Lehigh Acres, FL 33971

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: sumera.khan.1@22073.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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associates in Nephrology Butcher and Devacaanthan MD PA 21 clinicians

Practice addresses (Care Compare)

1320 SE 8TH St
Cape Coral, FL 33990-2952
Phone (239) 939-0999

Hospital & facility affiliations

  • USRC Cape Coral Home Dialysis facility, Cape Coral, FL, CCN 682719
  • USRC Fort Myers Dialysis Dialysis facility, Fort Myers, FL, CCN 682720
  • USRC Winkler Home Dialysis Dialysis facility, Fort Myers, FL, CCN 682706
  • DaVita Cape Point Dialysis Dialysis facility, Cape Coral, FL, CCN 682721
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1457554529",
    "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": {
        "last_name": "KHAN",
        "first_name": "SYEDA",
        "middle_name": "SUMERA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME98271",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME98271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.