VIJAY GANATRA, M.D., P.A.
NPI 1053434258
Internal Medicine in Fort Myers, FL
About Vijay Ganatra, M.d., P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIJAY GANATRA, M.D., P.A. (NPI 1053434258) is a healthcare organization registered as an internal medicine in Fort Myers, Florida and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through December 22, 2026 and lists Vijay D Ganatra, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vijay Ganatra, M.d., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Vijay Ganatra, M.D., P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 28Fort Myers, FL 33905
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D1007617
Vijay D Ganatra MD PA · Fort Myers, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Vijay Ganatra, M.D., P.A.'s NPI number?
The NPI number for Vijay Ganatra, M.D., P.A. is 1053434258. It was assigned to this organization in the NPPES registry on April 10, 2007.
Where is Vijay Ganatra, M.D., P.A. located?
Vijay Ganatra, M.D., P.A. is located at 13770 Plantation Rd Unit 4, Fort Myers, FL 33912. The listed phone number is (239) 561-6263.
What is Vijay Ganatra, M.D., P.A.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Vijay Ganatra, M.D., P.A. enrolled in Medicare?
Yes. Vijay Ganatra, M.D., P.A. is registered in the Medicare PECOS enrollment system.
When is Vijay Ganatra, M.D., P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Vijay Ganatra, M.D., P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 6 Medicare specialties reassign their Medicare billing to Vijay Ganatra, M.D., P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (9), Nurse Practitioner (9) and Hospitalist (6). Of these, 2 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Vijay Ganatra, M.D., P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D1007617) is associated with this NPI, valid through December 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Vijay Ganatra, M.D., P.A. accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Vijay Ganatra, M.D., P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Vijay Ganatra, M.D., P.A. was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Vijay Ganatra, M.d., P.a. · NPI 1053434258
Internal Medicine organization in Fort Myers, Florida. Organization record, active in the CMS NPPES registry since April 10, 2007.
## Identity
- **NPI:** 1053434258 (Entity type: Organization)
- **Enumerated:** April 10, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Vijay Ganatra, PRESIDENT
## Practice location
- **Address:** 13770 PLANTATION RD, UNIT 4, Fort Myers, FL 33912-4460
- **Phone:** (239) 561-6263 · **Fax:** (239) 561-6264
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 28 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (9), Nurse Practitioner (9), Hospitalist (6); 2 practice at this address and 17 within 10 miles; [full list](https://npiprofile.com/npi/1053434258/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2018
- **Other identifiers:** Other DQ5776 (FL); Medicaid 263735900 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053434258) · Data from the CMS NPPES public registry.