Individual provider Active NPI

Biju Koshy Thomas, M.D.

  • Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1912184920
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME122133 Issued in FL
Practice address
13731 Metropolis Ave
Fort Myers, FL 33912-7150
Phone
(239) 936-8555
Fax
(239) 936-5611
NPI assigned
Jan 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME122133 FL Primary

Addresses

Primary practice location

13731 Metropolis Ave
Fort Myers, FL 33912-7150

Mailing address

13731 Metropolis Ave
Fort Myers, FL 33912-7150
Phone (239) 936-8555

Other identifiers 1

IdentifierTypeStateIssuer
014709500MedicaidFL

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
I20150717002218 FL Practitioner - General SurgeryPractitioner - Vascular Surgery 6901970714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Surgical Specialists of Southwest Florida PAGroup PAC ID 7810958261, 7 clinicians

Practice addresses (Care Compare)

13731 Metropolis Ave
Fort Myers, FL 33912-7150
Phone (239) 936-8555

6821 Palisades Park CT
Suite 1
Fort Myers, FL 33912-7131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.44 of 100Reported as individual
Quality
82.88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Axel Medical Group LLC CurrentSince Dec 14, 2025 Accepting new patients
Surgical Specialists of Southwest Florida P.a. Surgery CurrentSince Jul 1, 2015 Accepting new patients

Locations

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

6821 Palisades Park Ct
Ste 1
Fort Myers, FL 33912
Phone (239) 936-8555

13731 Metropolis Ave
Fort Myers, FL 33912
Phone (239) 333-2742

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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 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": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1912184920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13731 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127150",
            "telephone_number": "239-936-8555",
            "fax_number": "239-936-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13731 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127150",
            "telephone_number": "239-936-8555",
            "fax_number": "239-936-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BIJU",
        "middle_name": "KOSHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME122133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014709500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.