VIJAY GANATRA (M.D.) – Internal Medicine Physician, NPI 1215992144

VIJAY GANATRA (M.D.) is a healthcare provider. based in Fort myers, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME84201 (FL). The NPI Number for VIJAY GANATRA (M.D.) is 1215992144

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
VIJAY GANATRA (M.D.)
NPI
1215992144
Phone
(239) 561-6263
Address
13770 PLANTATION RD STE 4
Enumeration Date
20 April 2006
Last Update Date
14 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1984 (42 years ago)
PAC ID
0547393522
Group Practice PAC ID
4880727866
Professional Enrollment ID
I20100727001070
Address ID
FL339124460FO13770RDXX305
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for VIJAY GANATRA (M.D.)

  • Plantation Road, Fort Myers, Lee County, Florida, 33966, United States

    FORT MYERS, FL 339124460

    Phone: (239) 561-6263

    Fax: (239) 561-6264

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100727001070IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3,323564$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2,397679$0
99239Hospital discharge day management, more than 30 minutes588486$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes570477$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes9185$0
View full utilization report →

Insurance plans in this area (ZIP 33912)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880727866View full group profile
NameSpecialtyState
Internal MedicineFL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Family PracticeFL
Internal MedicineFL
Physician AssistantFL
-FL

Reviews

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Frequently asked questions

Does VIJAY GANATRA (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — VIJAY GANATRA (M.D.) uses 1215992144.
Is VIJAY GANATRA (M.D.) listed as active for patients and plans?
The listing shows VIJAY GANATRA (M.D.) as active in the NPI system.
What taxonomy line describes VIJAY GANATRA (M.D.)?
For research purposes, treat VIJAY GANATRA (M.D.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for VIJAY GANATRA (M.D.)?
VIJAY GANATRA (M.D.)'s geographic hint is Fort Myers, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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