Active NPI
Kalugamage Ranjit Fernando, M.D.
- Rheumatology Physician
- Fort Myers, FL
National Provider Identifier
1669453593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- ME 30595
- Practice address
- 3722 Central Ave
Suite 2
Fort Myers, FL 33901-8247 - Phone
- (239) 936-1920
- Fax
- (239) 936-0371
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ME 30595 | FL | Primary |
Addresses
Primary practice location
3722 Central Ave
Suite 2
Fort Myers, FL 33901-8247
Mailing address
3722 Central Ave
Suite 2
Fort Myers, FL 33901-8247
Phone (239) 936-1920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 30595 | FL | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1669453593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3722 CENTRAL AVE",
"address_2": "SUITE 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339018247",
"telephone_number": "239-936-1920",
"fax_number": "239-936-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3722 CENTRAL AVE",
"address_2": "SUITE 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339018247",
"telephone_number": "239-936-1920",
"fax_number": "239-936-0371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDO",
"first_name": "KALUGAMAGE",
"middle_name": "RANJIT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "ME 30595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.