Individual provider Active NPI

Matthew Kaluza

  • Vascular & Interventional Radiology Physician
  • Fort Myers, FL
National Provider Identifier
1679131338
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME172521 Issued in FL
Practice address
8791 Conference Dr Ste 100
Fort Myers, FL 33919-5822
Phone
(239) 331-5566
NPI assigned
May 29, 2019
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X ME172521 FL
Vascular & Interventional Radiology Physician 2085R0204X ME172521 FL Primary

Addresses

Primary practice location

8791 Conference Dr Ste 100
Fort Myers, FL 33919-5822

Mailing address

8791 Conference Dr Ste 100
Fort Myers, FL 33919-5822
Phone (239) 331-5566

Other practice location 1

6311 S Pointe Blvd Ste 600
Fort Myers, FL 33919-4901
Phone (239) 343-9251

Other identifiers 1

IdentifierTypeStateIssuer
127127700MedicaidFL

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
I20250613001065 FL Practitioner - Interventional RadiologyPractitioner - Diagnostic RadiologyPractitioner - Vascular Surgery 3375878440 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology, Vascular Surgery
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Florida Radiology Consultants P aGroup PAC ID 3678471943, 70 clinicians
Florida Radiology Leasing LLCGroup PAC ID 1759327356, 39 clinicians

Practice addresses (Care Compare)

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 938-3571

3501 Health Ctr Blvd
Suite 1063
Estero, FL 34135-8127
Phone (239) 468-0265

6311 S Pointe Blvd
Fort Myers, FL 33919-4901

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME172521FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Radiology Leasing LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Florida Radiology Consultants P a Diagnostic Radiology CurrentSince Jul 15, 2025 Accepting new patients
Lee Health System Inc CurrentSince Jul 1, 2025 Accepting new patients
Lee Health System Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

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

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

6311 S Pointe Blvd
Ste 600
Fort Myers, FL 33919
Phone (239) 343-9150

8192 College Pkwy
Ste 6
Fort Myers, FL 33919
Phone (239) 481-8022

8791 Conference Dr
Ste 100
Fort Myers, FL 33919
Phone (239) 424-1452

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1679131338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8791 CONFERENCE DR STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195822",
            "telephone_number": "239-331-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8791 CONFERENCE DR STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195822",
            "telephone_number": "239-331-5566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6311 S Pointe Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339194901",
            "country_code": "US",
            "telephone_number": "239-343-9251",
            "fax_number": "239-343-9159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALUZA",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME172521",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME172521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127127700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.