Individual provider Active NPI

Dora V. Ancaya-Lujan, M.D.

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1821069030
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME109680 Issued in FL
Practice address
13691 Metro Pkwy Ste 110a
Fort Myers, FL 33912-4348
Phone
(239) 481-2400
Fax
(239) 481-2662
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME109680 FL
Internal Medicine Physician 207R00000X ME109680 FL Primary

Addresses

Primary practice location

13691 Metro Pkwy Ste 110a
Fort Myers, FL 33912-4348

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other practice location 1

9599 Gladiolus Blossom Ct
Fort Myers, FL 33908-9692
Phone (239) 931-3440

Other practice location 2

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 628-3192

Other practice location 3

6120 Winkler Rd Ste E
Fort Myers, FL 33919-8191
Phone (239) 481-2400

Other identifiers 7

IdentifierTypeStateIssuer
3458947OtherFLCIGNA
9524087.OtherFLAETNA
AQ117ZOtherFLMEDICARE PTAN
003825700MedicaidFL
P00969463OtherFLRR MEDICARE
114608900MedicaidFL
14F03OtherFLBCBSFL

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
I20110802000767 FL Practitioner - Internal Medicine 3678666211 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

15661 San Carlos Blvd
Unit 2
Fort Myers, FL 33908-2797
Phone (239) 433-4014

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Millennium Home Care LLC Home health agency, Port Charlotte, FL, CCN 109401
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Health System Inc CurrentSince Jan 27, 2025 Accepting new patients
Lee Memorial Health System Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Millennium Physician Group LLC CurrentSince Jan 11, 2021 Accepting new patients
Cape Coral Hospitalists Inc Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients
Lee Memorial Health System CurrentSince May 1, 2022 Accepting new patients
Lee Health System Inc Internal Medicine CurrentSince Jan 27, 2025 Accepting new patients
Millennium Physician Group LLC Internal Medicine CurrentSince Jan 11, 2021 Accepting new patients
Internal Medicine Associates of Lee County MD PA Internal Medicine PastSince Aug 1, 2012 Accepting new patients
Internal Medicine Associates of Lee County Hospitalist Group, LLC Hospitalist Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

24600 S Tamiami Trl
Ste 400
Bonita Springs, FL 34134
Phone (239) 948-3761

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

1407 Viscaya Pkwy
Ste 2
Cape Coral, FL 33990
Phone (239) 772-0111

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

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

6120 Winkler Rd
Ste E
Fort Myers, FL 33919
Phone (239) 481-2400

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

15661 San Carlos Blvd
Unit 2
Fort Myers, FL 33908
Phone (239) 433-4014

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

13691 Metro Pkwy
Ste 110A
Fort Myers, FL 33912
Phone (239) 310-5303

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: dora.ancaya-lujan.1@4290.direct.athenahealth.com

Organizations & group practices 10

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.

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1821069030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY STE 110A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124348",
            "telephone_number": "239-481-2400",
            "fax_number": "239-481-2662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9599 Gladiolus Blossom Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339089692",
            "country_code": "US",
            "telephone_number": "239-931-3440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9981 S Healthpark Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083618",
            "country_code": "US",
            "telephone_number": "239-628-3192",
            "fax_number": "239-647-5431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6120 Winkler Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339198191",
            "country_code": "US",
            "telephone_number": "239-481-2400",
            "fax_number": "239-481-2662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANCAYA-LUJAN",
        "first_name": "DORA",
        "middle_name": "V.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME109680",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME109680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3458947",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9524087.",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AQ117Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003825700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00969463",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114608900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "14F03",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.