Individual provider Active NPI

Madhu Bagaria, MD

  • Obstetrics & Gynecology Physician
  • Fort Myers, FL
National Provider Identifier
1497068423
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME182899 Issued in FL
Practice address
4761 S Cleveland Ave Ste 4
Fort Myers, FL 33907-1375
Phone
(239) 343-6100
Fax
(239) 343-9727
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 59649 MN
Obstetrics & Gynecology Physician 207V00000X ME182899 FL Primary
Obstetrics & Gynecology Physician 207V00000X 4301096090 MI

Addresses

Primary practice location

4761 S Cleveland Ave Ste 4
Fort Myers, FL 33907-1375

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-6100

Other practice location 1

18 E 41st St Rm 2002
New York, NY 10017-6215
Phone (646) 481-4998

Other practice location 2

106 Grand Ave Ste 435
Englewood, NJ 07631-3565
Phone (201) 266-3553

Other identifiers 1

IdentifierTypeStateIssuer
132200300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbagaria721098@Direct.leememorial.org Direct LEE HEALTH SYSTEM INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301096090MIMDObstetrics & Gynecology Physician
59649MNMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1497068423",
    "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": "239-343-6100",
            "fax_number": "239-343-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4761 S CLEVELAND AVE STE 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071375",
            "telephone_number": "239-343-6100",
            "fax_number": "239-343-9727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 E 41st St Rm 2002",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176215",
            "country_code": "US",
            "telephone_number": "646-481-4998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Grand Ave Ste 435",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076313565",
            "country_code": "US",
            "telephone_number": "201-266-3553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGARIA",
        "first_name": "MADHU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "59649",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME182899",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301096090",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132200300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbagaria721098@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "LEE HEALTH SYSTEM INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.