Individual provider Active NPI

Arvind Vasudevan, M.D.

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1770503526
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME156568 Issued in FL
Practice address
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
NPI assigned
Jul 21, 2006
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD213796 OR
Neurology Physician 2084N0400X 2008-01840 NC
Neurology Physician 2084N0400X T9523 TX
Neurology Physician 2084N0400X 21879 WV
Neurology Physician 2084N0400X MD460290 PA
Neurology Physician 2084N0400X ME156568 FL Primary
Hospitalist Physician 208M00000X ME156568 FL

Addresses

Primary practice location

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206

Mailing address

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2212

Other practice location 1

2199 Cheat Rd
Morgantown, WV 26508-4451
Phone (304) 594-3258

Other practice location 2

Medical Commons Two
540 South Street, Suite 302
Greensburg, PA 15601
Phone (724) 261-5610

Other practice location 3

1250 S Cedar Crest Blvd Ste 405
Allentown, PA 18103-6224
Phone (610) 402-8420

Other practice location 4

250 Stanaford Rd Ste 200
Beckley, WV 25801-3140
Phone (304) 254-2863

Other practice location 5

115 Summers Hospital Rd
Hinton, WV 25951-5172
Phone (304) 466-2918

Other practice location 6

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Other identifiers 4

IdentifierTypeStateIssuer
1770503526MedicaidNC
001845720OtherWVBLUE CROSS/BLUE SHIELD
NC2228MedicaidSC
5911703MedicaidNC

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Direct Messaging Address avasudevan864299@direct.ketteringhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA, KY, FL, MI, NH, GA, AZ, OH, NY, IA, WA, OR, ND, MS, MO16 enrollments
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 16

Enrollment IDStateProvider typePAC IDDetails
I20051230000475 WV Practitioner - NeurologyPractitioner - Psychiatry 2860414091 Reassigns benefits to 2 organizations
I20170530001327 PA Practitioner - Neurology 2860414091 Reassigns benefits to 14 organizations
I20201210001729 KY Practitioner - Neurology 2860414091 Reassigns benefits to 5 organizations
I20220912001936 FL Practitioner - Neurology 2860414091 Reassigns benefits to 3 organizations
I20220926001465 MI Practitioner - Neurology 2860414091 Reassigns benefits to 1 organization
I20221019000546 NH Practitioner - Neurology 2860414091 Reassigns benefits to 4 organizations
I20221024002718 GA Practitioner - Neurology 2860414091 Reassigns benefits to 4 organizations
I20221123002745 AZ Practitioner - Neurology 2860414091 Reassigns benefits to 1 organization
I20221129000476 OH Practitioner - Neurology 2860414091 Reassigns benefits to 1 organization
I20221205002587 NY Practitioner - Neurology 2860414091 Reassigns benefits to 5 organizations
I20230214003261 IA Practitioner - Neurology 2860414091
I20230310000799 WA Practitioner - Neurology 2860414091 Reassigns benefits to 1 organization
I20230327001121 OR Practitioner - Neurology 2860414091 Reassigns benefits to 1 organization
I20230626002447 ND Practitioner - Neurology 2860414091 Reassigns benefits to 2 organizations
I20230727001008 MS Practitioner - Neurology 2860414091 Reassigns benefits to 1 organization
I20231018000299 MO Practitioner - Neurology 2860414091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Telespecialists North Carolina Neurology Services PLLCGroup PAC ID 7719348978, 28 clinicians
St. Joseph HospitalGroup PAC ID 1254222938, 101 clinicians
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Good Samaritan Hospital Medical CenterGroup PAC ID 5294639951, shared by 4 NPIs, 152 clinicians
Virtual Neurology Kansas LLCGroup PAC ID 9436694270, 47 clinicians
Piedmont Athens Hospitalist Physicians LLCGroup PAC ID 6305196411, 174 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
St Charles Hospital CorpGroup PAC ID 6103733050, 62 clinicians
Summit Healthcare AssociationGroup PAC ID 3779568647, 78 clinicians
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians
Upson Medical Associates LLCGroup PAC ID 8729074059, 89 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

Wexford, PA 15090
Phone (239) 208-2212

Latrobe, PA 15650
Phone (516) 579-6000

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-5076

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 474-6000

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 343-2000

2790 Clay Edwards Dr
Suite 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 579-6000

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000

80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-2819

850 Weldon St
Latrobe, PA 15650-1609
Phone (855) 201-6912

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-5275

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME156568FLMDNeurology Physician
MD460290PAMDNeurology Physician

Practice roles (60 of 77)

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Neurology CurrentSince Sep 13, 2023 Accepting new patients
Nchmd, Inc CurrentSince Apr 1, 2023 Accepting new patients
Altru Health System Multi-Specialty Current Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Multi-Specialty Current Accepting new patients
Concord Hospital-Laconia Multi-Specialty CurrentSince Dec 23, 2022 Accepting new patients
St Alexius Medical Center Multi-Specialty CurrentSince Apr 21, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc. Multi-Specialty CurrentSince Dec 1, 2020 Accepting new patients
Stanley T. Day Multi-Specialty Current Accepting new patients
St Joseph Hospital of Nashua NH Multi-Specialty Current Accepting new patients
Mercy Medical Center Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
Altru Health System CurrentSince Jun 22, 2023 Accepting new patients
Concord Hospital, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Summit Healthcare Association Multi-Specialty CurrentSince Dec 1, 2022 Accepting new patients
Altru Health System Multi-Specialty CurrentSince Jun 22, 2023 Accepting new patients
St. Catherine of Siena Medical Center Multi-Specialty CurrentSince Dec 1, 2022 Accepting new patients
Concord Hospital, Inc. Multi-Specialty CurrentSince Oct 1, 2022 Accepting new patients
St. Alexius Medical Center Multi-Specialty CurrentSince Apr 21, 2024 Accepting new patients
Excela Health Physician Practices, Inc. Family Medicine CurrentSince Jun 26, 2017 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Oct 27, 2022 Accepting new patients
Telespecialists North Carolina Neurology Services PLLC Multi-Specialty CurrentSince Sep 28, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Mar 9, 2023 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Multi-Specialty Current Accepting new patients
Virtual Neurology PC Multi-Specialty CurrentSince Mar 18, 2024 Accepting new patients
Legacy Salmon Creek Hospital Multi-Specialty CurrentSince Feb 17, 2023 Accepting new patients
Upmc Altoona Regional Health Services, Inc Multi-Specialty Current Accepting new patients
North Mississippi Medical Center Inc. Multi-Specialty CurrentSince Jan 5, 2025 Accepting new patients
Lehigh Valley Physician Group Multi-Specialty CurrentSince Oct 27, 2022 Accepting new patients
St Joseph Hospital of Nashua NH Multi-Specialty CurrentSince Nov 29, 2022 Accepting new patients
Lehigh Valley Physician Group Multi-Specialty Current Accepting new patients
Appalachian Regional Healthcare, Inc Multi-Specialty CurrentSince Dec 1, 2020 Accepting new patients
St Charles Hospital Corp Multi-Specialty CurrentSince Sep 1, 2022 Accepting new patients
Good Samaritan Hospital Medical Center Multi-Specialty Current Accepting new patients
Lakeland Medical Practices Multi-Specialty CurrentSince Sep 1, 2022 Accepting new patients
Piedmont Hospitalist Physicians LLC Multi-Specialty CurrentSince Dec 14, 2022 Accepting new patients
Good Samaritan Hospital Medical Multi-Specialty CurrentSince Sep 1, 2022 Accepting new patients
Lakeland Medical Practices Multi-Specialty CurrentSince Sep 1, 2022 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC Multi-Specialty CurrentSince Dec 14, 2022 Accepting new patients
Mercy Medical Center Multi-Specialty Current Accepting new patients
Kettering Independent Medical Group Inc Multi-Specialty CurrentSince Jan 6, 2024 Accepting new patients
Upmc Altoona Regional Health Services, Inc Multi-Specialty CurrentSince May 1, 2023 Accepting new patients
Upson County Hospital Inc Multi-Specialty CurrentSince Sep 17, 2022 Accepting new patients
Meritas Health Corporation Multi-Specialty CurrentSince Sep 13, 2023 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Multi-Specialty CurrentSince Dec 14, 2022 Accepting new patients
Lee Health System Inc CurrentSince Jan 25, 2025 Accepting new patients
Upson County Hospital Inc Multi-Specialty CurrentSince Sep 17, 2022 Accepting new patients
Legacy Salmon Creek Hospital Multi-Specialty CurrentSince Feb 17, 2023 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jun 26, 2017 Accepting new patients
Legacy Clinics LLC CurrentSince Feb 17, 2023 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Appalachian Regional Healthcare, Inc Multi-Specialty Current Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. Multi-Specialty CurrentSince Dec 14, 2022 Accepting new patients
Meritas Health Corporation Multi-Specialty Current Accepting new patients
Excela Health Physician Practices, Inc Multi-Specialty Current Accepting new patients
Nchmd Inc Multi-Specialty CurrentSince Apr 1, 2023 Accepting new patients
Appalachian Regional Healthcare, Inc. Multi-Specialty CurrentSince Mar 18, 2021 Accepting new patients
Upson Medical Associates LLC Multi-Specialty CurrentSince Nov 11, 2024 Accepting new patients
St. Joseph Hospital Multi-Specialty CurrentSince Sep 1, 2022 Accepting new patients
North Mississippi Medcial Center, Inc. Multi-Specialty CurrentSince Jun 20, 2023 Accepting new patients
Legacy Clinics LLC Multi-Specialty CurrentSince Feb 17, 2023 Accepting new patients

Locations (25 of 81)

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

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

11215 Metro Pkwy
Bldg 3
Fort Myers, FL 33966
Phone (470) 816-5071

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

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

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

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

80 Hospital Dr
#2
Barbourville, KY 40906
Phone (606) 545-4460

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

34 Mary Alice Dr
Flat Lick, KY 40935
Phone (606) 542-0146

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: avasudevan230552@santaclaravalley.direct-ci.net
  • Direct secure messaging: avasudevan4030880@direct.trinity-health.org
  • Direct secure messaging: avasudevan71877@epicdirect.hf.org
  • Direct secure messaging: avasudevan820629@direct.emplifyhealth.org
  • Direct secure messaging: avasudevan864299@direct.ketteringhealth.org

Organizations & group practices 80

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.

View all 80

Hospital & facility affiliations 6

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1770503526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212",
            "fax_number": "239-208-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2199 Cheat Rd",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265084451",
            "country_code": "US",
            "telephone_number": "304-594-3258",
            "fax_number": "304-594-3498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Medical Commons Two",
            "address_2": "540 South Street, Suite 302",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "15601",
            "country_code": "US",
            "telephone_number": "724-261-5610",
            "fax_number": "878-295-8530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 S Cedar Crest Blvd Ste 405",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036224",
            "country_code": "US",
            "telephone_number": "610-402-8420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Stanaford Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258013140",
            "country_code": "US",
            "telephone_number": "304-254-2863",
            "fax_number": "304-254-3524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Summers Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Hinton",
            "state": "WV",
            "postal_code": "259515172",
            "country_code": "US",
            "telephone_number": "304-466-2918",
            "fax_number": "304-466-2929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Eaton Ave",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450132767",
            "country_code": "US",
            "telephone_number": "513-867-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASUDEVAN",
        "first_name": "ARVIND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD213796",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2008-01840",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "T9523",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WV",
            "license": "21879",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD460290",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME156568",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME156568",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770503526",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "001845720",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2228",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911703",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "avasudevan864299@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.