Individual provider Active NPI

Ananthalakshmi Krishnan, M.D.

  • Pediatrics Physician
  • Cape Coral, FL
National Provider Identifier
1477629525
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME57036 Issued in FL
Practice address
414 Cape Coral Pkwy E Ste 103
Cape Coral, FL 33904-8522
Phone
(239) 343-9888
Fax
(239) 468-7937
NPI assigned
Nov 28, 2006
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME57036 FL Primary

Addresses

Primary practice location

414 Cape Coral Pkwy E Ste 103
Cape Coral, FL 33904-8522

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-9888

Other practice location 1

126 Del Prado Blvd N Ste 102
Cape Coral, FL 33909-2713
Phone (239) 772-3295

Other practice location 2

126 Del Prado Blvd N Ste 101
Cape Coral, FL 33909-2713
Phone (239) 772-3295

Other identifiers 2

IdentifierTypeStateIssuer
053542700MedicaidFL
BLUE CROSS BLUE SHEIOtherFLBCBS OF FLORIDA

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
I20240925004649 FL Practitioner - Pediatric Medicine 0446791750 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Memorial Health System CurrentSince Sep 23, 2024 Accepting new patients
Lee Health System Inc CurrentSince Jan 24, 2025 Accepting new patients
Lee Memorial Health System CurrentSince Sep 23, 2024 Accepting new patients
Lee Health System Inc Pediatrics CurrentSince Jan 24, 2025 Accepting new patients
Lee Memorial Health System Pediatrics Current Accepting new patients

Locations

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

126 Del Prado Blvd N
Ste 101
Cape Coral, FL 33909
Phone (239) 772-3295

414 Cape Coral Pkwy E
Ste 103
Cape Coral, FL 33904

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

Interoperability endpoints

  • Direct secure messaging: akrishnan6445@direct.leememorial.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1477629525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-9888",
            "fax_number": "239-468-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 CAPE CORAL PKWY E STE 103",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048522",
            "telephone_number": "239-343-9888",
            "fax_number": "239-468-7937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Del Prado Blvd N Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339092713",
            "country_code": "US",
            "telephone_number": "239-772-3295",
            "fax_number": "239-772-4219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Del Prado Blvd N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339092713",
            "country_code": "US",
            "telephone_number": "239-772-3295",
            "fax_number": "239-772-4219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "ANANTHALAKSHMI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME57036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053542700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "BLUE CROSS BLUE SHEI",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.