LEE PODIATRY GROUP
NPI 1104867050
Podiatrist in Fort Myers, FL

Active since June 10, 2006
12734 KENWOOD LN, SUITE 44, FORT MYERS, FL 33907(239) 936-2454(239) 936-1974 Get Directions Write a Review

NPPES record last updated: August 30, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lee Podiatry Group NPPES

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

LEE PODIATRY GROUP (NPI 1104867050) is a healthcare organization registered as a podiatrist in Fort Myers, Florida and active in the NPI registry since June 2006. The organization lists Laura Toadvine, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104867050
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameSANDRA P DESAI DPM
Location Address12734 KENWOOD LN, SUITE 44Fort Myers, FL 33907-5666
Mailing Address12734 Kenwood Ln, Suite 44Fort Myers, FL 33907-5666 · (239) 936-2454 · Fax (239) 936-1974
Fax(239) 936-1974
Organization SubpartNo
Authorized OfficialLaura ToadvineOffice Manager · (239) 936-2454
Enumeration DateJune 10, 2006
Last NPPES UpdateAugust 30, 2011
✔ NPI 1104867050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in FL · PO2833
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License PO2882 (FL)
12734 KENWOOD LN, Fort Myers, FL 33907

Other Names 1

Doing Business AsLee Podiatry Group

Other Identifiers 3

Medicaid340439100FL
Medicare PINK5353FL
Medicare NSC5155880002FL

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 MULTIPLE 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)

Lee Podiatry Group 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 Lee Podiatry Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1316981368
316 DEL PRADO BLVD S
Cape Coral, FL 33990
(239) 738-7324
✔ PECOS✔ Accepts Medicare7.4 mi

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 Sandra P Desai Dpm's NPI number?

The NPI number for Sandra P Desai Dpm is 1104867050. It was assigned to this organization in the NPPES registry on June 10, 2006. The provider is doing business as Lee Podiatry Group.

Where is Sandra P Desai Dpm located?

Sandra P Desai Dpm is located at 12734 Kenwood Ln Suite 44, Fort Myers, FL 33907. The listed phone number is (239) 936-2454.

What is Sandra P Desai Dpm's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Sandra P Desai Dpm enrolled in Medicare?

Yes. Sandra P Desai Dpm is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sandra P Desai Dpm?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Sandra P Desai Dpm. 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 Sandra P Desai Dpm was last updated on August 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.