Individual provider Active NPI

Andrew Lee Raider, D.O.

  • Anesthesiology Physician
  • Fort Myers, FL
National Provider Identifier
1558323865
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS8882 Issued in FL
Practice address
13681 Doctors Way
Gulf Coast Medical Center
Fort Myers, FL 33912-3391
Phone
(239) 343-1000
NPI assigned
Apr 3, 2006
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS8882 FL Primary

Addresses

Primary practice location

13681 Doctors Way
Gulf Coast Medical Center
Fort Myers, FL 33912-3391

Mailing address

2332 Saint David Island CT
Punta Gorda, FL 33950-8146
Phone (941) 639-7743

Other identifiers 2

IdentifierTypeStateIssuer
267425400MedicaidFL
71114OtherFLBLUECROSS

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
I20040707000419 FL Practitioner - Anesthesiology 0547247553 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Philadelphia College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Anesthesiology Services of Florida IncGroup PAC ID 1850674540, 159 clinicians

Practice addresses (Care Compare)

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-1000

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 493-5005

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Jul 1, 2013 Accepting new patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Feb 28, 2021 Accepting new patients
American Anesthesiology Services of Florida, Inc. Anesthesiology CurrentSince Dec 1, 2023 Accepting new patients
Outpatient Anesthesia of Southwest Florida Inc CurrentSince Aug 3, 2021 Accepting new patients
Anesthesia & Pain Consultants of SW FL CurrentSince Aug 3, 2021 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Jul 1, 2013 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients
Charlotte Harbor Anesthesia PA Anesthesiology Past Accepting new patients
Gulf Coast Hma Physician Management LLC Past Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

12511 World Plaza Ln
Bldg 50
Fort Myers, FL 33907
Phone 2399392622 ext. 300

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

4035 Evans Ave
Fort Myers, FL 33901
Phone (941) 939-4937

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

11375 Cortez Blvd
#50
Spring Hill, FL 34613
Phone (352) 592-2753

6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 10

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 1

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1558323865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 SAINT DAVID ISLAND CT",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339508146",
            "telephone_number": "941-639-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13681 DOCTORS WAY",
            "address_2": "GULF COAST MEDICAL CENTER",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339123391",
            "telephone_number": "239-343-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIDER",
        "first_name": "ANDREW",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS8882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267425400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "71114",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.