Ganesh Shenoy, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME85488 Issued in FL

Practice address

14181 S Tamiami TRL Ste 120a
Fort Myers, FL 33912-1985

Phone

(239) 303-2820

Fax

(239) 303-2511

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fort Myers Kidney Care Center Dialysis facility, Fort Myers, FL, CCN 682542
• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
• Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Lee Kidney Center PA

  • Nephrology Physician
  • Fort Myers, FL
  • NPI 1124057989
  Medicare reassignment NPD Authorized official
• Fort Myers Kidney Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Myers, FL
  • NPI 1093154916
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fort Myers Kidney Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Myers, FL
  • NPI 1093154916

  Dialysis facility

  Care Compare affiliation Name & address match
• Lee Health System Inc

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1366281750
  Care Compare affiliation
• Lee Health System Inc

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation
• Lee Health System Inc

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1881629129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14181 S TAMIAMI TRL STE 120A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121985",
            "telephone_number": "239-303-2820",
            "fax_number": "239-303-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14181 S TAMIAMI TRL STE 120A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121985",
            "telephone_number": "239-303-2820",
            "fax_number": "239-303-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENOY",
        "first_name": "GANESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME85488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "29034",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ganesh.shenoy@46943993790468.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "14181 S Tamiami Trl Ste 120A",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339121985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicholas Shelley, NP
• Shelly King, DMD, PA
• Christen Marie Shelton
• Shawn Shelton
• Anant Shenoy, M.D.
• Parna Shenoy, MD
• Tracy Shephard
• Zoe Sheppard, APRN, CNM
• Howard M. Sheridan, MD
• Audrey Rae Sherman, PHD

• Nephrology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.

Verify at the official NPI Registry.