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RAJAN SAREEN MD PLLC
NPI 1104481373
Internal Medicine - Adolescent Medicine in Fort Myers, FL

Active since May 03, 2019
4801 PALM BEACH BLVD, FORT MYERS, FL 33905(239) 694-2161(239) 694-4131 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rajan Sareen Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAJAN SAREEN MD PLLC (NPI 1104481373), doing business as Family Medical Clinic, is a healthcare organization registered as an adolescent medicine in Fort Myers, Florida and active in the NPI registry since May 2019. The organization lists Rajan Sareen, Owner, as its authorized official.

NPPES Registry Identity

NPI1104481373
Entity TypeOrganization
Primary Taxonomy207RA0000X
Legal Business NameRAJAN SAREEN MD PLLC
Location Address4801 PALM BEACH BLVDFort Myers, FL 33905-3214
Mailing Address4801 Palm Beach BlvdFort Myers, FL 33905-3214 · (239) 694-2161 · Fax (239) 694-4131
Phone(239) 694-2161
Fax(239) 694-4131
Organization SubpartNo
Authorized OfficialRajan SareenOwner · (239) 694-2161
Enumeration DateMay 3, 2019
✔ NPI 1104481373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
4801 PALM BEACH BLVD, Fort Myers, FL 33905
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Other Names 1

Doing Business AsFamily Medical Clinic

Other Identifiers 1

Medicaid023896400FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rajan Sareen Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rajan Sareen MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rajan Sareen, MD
Internal Medicine
NPI 1659368934
4801 PALM BEACH BLVD
Fort Myers, FL 33905
(239) 694-2161
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Rajan Sareen MD PLLC's NPI number?

The NPI number for Rajan Sareen MD PLLC is 1104481373. It was assigned to this organization in the NPPES registry on May 3, 2019. The provider is doing business as Family Medical Clinic.

Where is Rajan Sareen MD PLLC located?

Rajan Sareen MD PLLC is located at 4801 Palm Beach Blvd, Fort Myers, FL 33905. The listed phone number is (239) 694-2161.

What is Rajan Sareen MD PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Is Rajan Sareen MD PLLC enrolled in Medicare?

Yes. Rajan Sareen MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rajan Sareen MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Rajan Sareen MD PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rajan Sareen MD PLLC was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.