Individual provider Active NPI

Ananya Mahajan, PA-C

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1679221097
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6101 Pine Ridge Rd Ste 101
Naples, FL 34119-3900
Phone
(239) 649-1662
Fax
(239) 649-7053
NPI assigned
Mar 15, 2022
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

6101 Pine Ridge Rd Ste 101
Naples, FL 34119-3900

Mailing address

3451 Pine Ridge Rd BLDG 601
Naples, FL 34109-3922
Phone (239) 449-7900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221028002725 FL Practitioner - Physician Assistant 6507233814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 566-3434

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience and Spine Associates PL CurrentSince Nov 18, 2025 Accepting new patients
Neuroscience and Spine Associates PL CurrentSince Oct 17, 2022 Accepting new patients
Neuroscience and Spine Associates PL CurrentSince Feb 18, 2024 Accepting new patients
Neuroscience and Spine Associates PL CurrentSince Oct 17, 2022 Accepting new patients
Neuroscience and Spine Associates Current Accepting new patients
Neuroscience and Spine Associates PL Physician Assistant Past Accepting new patients
Physicians Surgery Center LLC Past Accepting new patients

Locations

8380 Riverwalk Park Blvd
Ste 320
Fort Myers, FL 33919
Phone (239) 437-1121

3451 Pine Ridge Rd
Bldg 601
Naples, FL 34109
Phone (239) 449-3072

3451 Pine Ridge Rd
Ste 601
Naples, FL 34109

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

6101 Pine Ridge Rd
Ste 101
Naples, FL 34119
Phone (239) 449-3072

Interoperability endpoints

  • Direct secure messaging: ananyamahajan@nsapl.allscriptsdirect.net

Organizations & group practices 7

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 3

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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1679221097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 PINE RIDGE RD BLDG 601",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093922",
            "telephone_number": "239-449-7900",
            "fax_number": "877-334-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900",
            "telephone_number": "239-649-1662",
            "fax_number": "239-649-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "ANANYA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.