NPIMap

Individual provider Active NPI

Shailaja Hegde, MD

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1841281722
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME91752 Issued in FL
Practice address
9131 College Pointe CT
Fort Myers, FL 33919-3245
Phone
(239) 343-9100
Fax
(239) 343-9108
NPI assigned
Oct 31, 2005
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME91752 FL Primary

Addresses

Primary practice location

9131 College Pointe CT
Fort Myers, FL 33919-3245

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-9100

Other identifiers 2

IdentifierTypeStateIssuer
271549000MedicaidFL
260760931OtherFLHUMANA TRICARE MILITARY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000548 FL Practitioner - Internal MedicinePractitioner - General Practice 3779548532 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axel Health Primary Care LLCGroup PAC ID 9537568266, 2 clinicians
Lee Senior Services LLCGroup PAC ID 1153740915, 6 clinicians

Practice addresses (Care Compare)

14192 Metropolis Ave
Fort Myers, FL 33912-4331
Phone (239) 313-2901

16451 Healthpark Commons Dr
Fort Myers, FL 33908-9501
Phone (239) 349-3300

6811 Porto Fino Cir
Fort Myers, FL 33912-4354
Phone (239) 208-6648

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME91752FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Senior Services, LLC Internal Medicine CurrentSince Jan 16, 2026 Accepting new patients
Lee Senior Services, LLC Internal Medicine CurrentSince Jan 16, 2026 Accepting new patients
Axel Medical Group LLC CurrentSince Apr 15, 2023 Accepting new patients
Axel Health LLC Internal Medicine CurrentSince Jul 16, 2022 Accepting new patients
Axel Health Primary Care LLC Internal Medicine CurrentSince Jul 16, 2022 Accepting new patients
Park Slope Physician Services PC Internal Medicine Past Accepting new patients
Park Slope Emergency Physician Services, PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1730 NE Pine Island Rd
Cape Coral, FL 33909
Phone (205) 968-4485

14192 Metropolis Ave
Fort Myers, FL 33912
Phone (239) 244-9560

16451 Healthpark Commons Dr
Fort Myers, FL 33908
Phone (239) 214-2525

16451 Healthpark Commons Dr
#D
Fort Myers, FL 33908
Phone (239) 349-3300

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

6811 Porto Fino Cir
Fort Myers, FL 33912
Phone (239) 225-1306

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCIBDD

Organizations & group practices 9

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 4

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1841281722",
    "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": "239-343-9100",
            "fax_number": "239-343-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 COLLEGE POINTE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193245",
            "telephone_number": "239-343-9100",
            "fax_number": "239-343-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGDE",
        "first_name": "SHAILAJA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME91752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271549000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA TRICARE MILITARY",
            "identifier": "260760931",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.