Individual provider Active NPI

Anais Aurora Badia, DO MD

  • Dermatology Physician
  • Fort Myers, FL
National Provider Identifier
1609051887
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS007304 Issued in FL
Practice address
13691 Metropolis Avenue
Fort Myers, FL 33912
Phone
(239) 561-3376
Fax
(239) 561-3020
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS007304 FL Primary

Addresses

Primary practice location

13691 Metropolis Avenue
Fort Myers, FL 33912

Mailing address

13691 Metropolis Avenue
Fort Myers, FL 33912
Phone (239) 561-3376

Other identifiers 1

IdentifierTypeStateIssuer
58688OtherFLBCBS FL

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
I20050830000262 FL Practitioner - Dermatology 8224069208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leavitt Medical Associates of Florida IncGroup PAC ID 4688579311, 199 clinicians

Practice addresses (Care Compare)

632 Del Prado Blvd N
Suite 201
Cape Coral, FL 33909-2278
Phone (239) 829-7102

Hospital & facility affiliations

  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1394
Removal or shaving of skin growth1-10
Skin biopsy480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS007304FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Skin Center CurrentSince Jan 1, 1990 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Dec 10, 2021 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince Dec 10, 2021 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology Past Accepting new patients

Locations

1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474

632 Del Prado Blvd N
Ste 201
Cape Coral, FL 33909
Phone (239) 829-7102

4037 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 561-3376

7310 College Pkwy
Fort Myers, FL 33907
Phone (239) 561-3763

615 Williams Ave
Lehigh Acres, FL 33972
Phone (239) 260-9346

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100

329 E Olympia Ave
Punta Gorda, FL 33950
Phone (239) 561-3376

13681 Metropolis Ave
South Fort Myers, FL 33912
Phone (239) 768-2323

13691 Metropolis Ave
South Fort Myers, FL 33912
Phone (239) 208-5404

1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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 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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1609051887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13691 METROPOLIS AVENUE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-561-3376",
            "fax_number": "239-561-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METROPOLIS AVENUE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-561-3376",
            "fax_number": "239-561-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADIA",
        "first_name": "ANAIS",
        "middle_name": "AURORA",
        "name_prefix": "Ms.",
        "credential": "DO MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS007304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "58688",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.