Individual provider Active NPI

Madhumati Raju, MD

  • Internal Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1780773846
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME123135 Issued in FL
Practice address
1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone
(239) 424-1900
Fax
(239) 424-1904
NPI assigned
Oct 12, 2006
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME123135 FL Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 113628 MO

Addresses

Primary practice location

1138 Country Club Blvd
Cape Coral, FL 33990-3027

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 424-1900

Other practice location 1

Fort Myers VA outpatient clinic
3033 Winkler extension
Fort Myers, FL 33916
Phone (239) 939-3939

Other identifiers 1

IdentifierTypeStateIssuer
12287300MedicaidFL

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
I20240711004552 FL Practitioner - Internal Medicine 7214175660 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113628MOMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Memorial Health System CurrentSince Jul 15, 2024 Accepting new patients
Lee Health System Inc CurrentSince Jan 20, 2025 Accepting new patients
Lee Health System Inc Internal Medicine CurrentSince Jan 20, 2025 Accepting new patients
Lee Memorial Health System Internal Medicine CurrentSince Jul 15, 2024 Accepting new patients

Locations

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

3033 Winkler Avenue Ext
Fort Myers, FL 33916
Phone (239) 277-7070

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

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1780773846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-424-1900",
            "fax_number": "239-424-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 COUNTRY CLUB BLVD",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903027",
            "telephone_number": "239-424-1900",
            "fax_number": "239-424-1904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Fort Myers VA outpatient clinic",
            "address_2": "3033 Winkler extension",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "33916",
            "country_code": "US",
            "telephone_number": "239-939-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJU",
        "first_name": "MADHUMATI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME123135",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "113628",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12287300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.