Active NPI
Kalpana S. Deshmukh, MD
- Diagnostic Radiology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME125789
- Practice address
- 2776 Cleveland Ave
Fort Myers, FL 33901-5864 - Phone
- (239) 343-2000
- Fax
- (856) 751-0535
- NPI assigned
- Jul 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA04036100 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | ME125789 | FL | Primary |
Addresses
Primary practice location
2776 Cleveland Ave
Fort Myers, FL 33901-5864
Mailing address
PO Box 1710
South Jersey Radiology Associates, PA
Voorhees, NJ 08043-7710
Phone (856) 770-0504
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101809000 | Medicaid | FL | |
| 10654859 | Other | CAQH | |
| 2100749 | Other | UNITED HEALTHCARE | |
| 300122630 | Other | RAILROAD MEDICARE | |
| 1188704 | Medicaid | NJ | |
| 63402 | Other | PREMIER BLUE | |
| 1144632 | Other | HORIZON NJ HEALTH | |
| 2608168 | Other | AETNA | |
| 0057263000 | Other | AMERIHEALTH HMO | |
| 063402 | Other | AMERIHEALTH PPO | |
| 63402 | Other | HIGHMARK PA BLUE SHIELD | |
| MRZ7W | Other | FL | BCBS OF FLORIDA |
| A3738029 | Other | OXFORD HEALTH | |
| KP347 | Other | FL | MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1972
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
6311 S Pointe Blvd
Suite 600
Fort Myers, FL 33919-4901
Phone (239) 938-3500
636 Del Prado Blvd S
Suite 4
Cape Coral, FL 33990-2668
Phone (239) 424-2318
Hospital & facility affiliations
- Lee Memorial Hospital
- Gulf Coast Medical Center Lee Health
- Cape Coral Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.5 of 100
- Quality
- 80
- Improvement activities
- 20
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.94 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME125789 | FL | MD | Diagnostic Radiology Physician |
| 25MA04036100 | NJ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Radiology Leasing LLC | Diagnostic Radiology | Current | Accepting new patients |
| Florida Radiology Consultants P a | Diagnostic Radiology | Current | Accepting new patients |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Health System Inc | Current | 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
636 Del Prado Blvd S
Ste 4
Cape Coral, FL 33990
Phone (239) 424-2318
3501 Health Center Blvd
Estero, FL 34135
Phone (239) 949-1050
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
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
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.
-
- Diagnostic Radiology Physician
- Fort Myers, FL
- NPI 1518911668
-
- Diagnostic Radiology Physician
- Fort Myers, FL
- NPI 1518907823
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1780682575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1710",
"address_2": "SOUTH JERSEY RADIOLOGY ASSOCIATES, PA",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080437710",
"telephone_number": "856-770-0504",
"fax_number": "856-770-0395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2776 CLEVELAND AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339015864",
"telephone_number": "239-343-2000",
"fax_number": "856-751-0535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESHMUKH",
"first_name": "KALPANA",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-14",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA04036100",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME125789",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101809000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10654859",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2100749",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300122630",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1188704",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMIER BLUE",
"identifier": "63402",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1144632",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2608168",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH HMO",
"identifier": "0057263000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PPO",
"identifier": "063402",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PA BLUE SHIELD",
"identifier": "63402",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "MRZ7W",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH",
"identifier": "A3738029",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "KP347",
"state": "FL"
}
],
"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 Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.