Individual provider Active NPI

Shivtaj Mann, DO

  • Medical Oncology Physician
  • Fort Myers, FL
National Provider Identifier
1871949883
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
OS18673 Issued in FL
Practice address
14543 Global Parkway
Suite 110, 2ND Floor
Fort Myers, FL 33913-9446
Phone
(239) 264-7026
Fax
(239) 567-3679
NPI assigned
May 9, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X OS18673 FL Primary
Hematology (Internal Medicine) Physician 207RH0000X OS18673 FL
Internal Medicine Physician 207R00000X OT016993 PA

Addresses

Primary practice location

14543 Global Parkway
Suite 110, 2ND Floor
Fort Myers, FL 33913-9446

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100

Other practice location 1

326 Del Prado Blvd N Ste 301
Cape Coral, FL 33909-2288
Phone (239) 217-8011

Other practice location 2

14551 Hope Center Loop Ste 200
Fort Myers, FL 33912-4705
Phone (239) 264-7026

Other practice location 3

326 Del Prado Blvd N Ste 102
Cape Coral, FL 33909-2288
Phone (239) 217-8011

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
I20220708002832 FL Practitioner - Medical OncologyPractitioner - Hematology 7012243314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Nova Southeastern College of Osteo Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

14543 Global Pkwy
Ste. 110 2ND Floor
Fort Myers, FL 33913-8829
Phone (239) 264-7026

Hospital & facility affiliations

  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT016993PAMDInternal Medicine Physician
OS18673FLMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Creek Medical Center,Inc Internal Medicine CurrentSince May 1, 2025 Accepting new patients
American Oncology Partners PA Hematology CurrentSince Aug 1, 2024 Accepting new patients
American Oncology Partners, P.a. Hematology PastSince Jul 13, 2025 Accepting new patients

Locations

326 Del Prado Blvd N
Ste 301
Cape Coral, FL 33909
Phone (239) 217-8011

326 Del Prado Blvd N
Ste 102
Cape Coral, FL 33909
Phone (239) 217-8011

2848 Center Pointe Dr
Fl 2
Fort Myers, FL 33916
Phone (239) 318-6284

14543 Global Pkwy
Ste 110
Fort Myers, FL 33913
Phone (239) 264-7026

14551 Hope Center Loop
Ste 200
Fort Myers, FL 33912
Phone (239) 264-7026

Organizations & group practices 3

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 3

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": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1871949883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14543 GLOBAL PARKWAY",
            "address_2": "SUITE 110, 2ND FLOOR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339139446",
            "telephone_number": "239-264-7026",
            "fax_number": "239-567-3679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 Del Prado Blvd N Ste 301",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339092288",
            "country_code": "US",
            "telephone_number": "239-217-8011",
            "fax_number": "239-221-0278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14551 Hope Center Loop Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124705",
            "country_code": "US",
            "telephone_number": "239-264-7026",
            "fax_number": "239-567-3679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 Del Prado Blvd N Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339092288",
            "country_code": "US",
            "telephone_number": "239-217-8011",
            "fax_number": "239-221-0278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "SHIVTAJ",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "OS18673",
            "primary": true
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "OS18673",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT016993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.