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LEE KIDNEY CENTER PA
NPI 1124057989
Internal Medicine - Nephrology in Fort Myers, FL

Active since July 02, 2006
14181 S TAMIAMI TRL STE 120A, FORT MYERS, FL 33912(239) 303-2820(239) 303-2511 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lee Kidney Center Pa NPPES

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

LEE KIDNEY CENTER PA (NPI 1124057989) is a healthcare organization registered as a nephrology in Fort Myers, Florida and active in the NPI registry since July 2006. The organization lists Ganesh Shenoy, Owner, as its authorized official.

NPPES Registry Identity

NPI1124057989
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameLEE KIDNEY CENTER PA
Location Address14181 S TAMIAMI TRL STE 120AFort Myers, FL 33912-1985
Mailing Address14181 S Tamiami Trl Ste 120aFort Myers, FL 33912-1985 · (239) 303-2820 · Fax (239) 303-2511
Phone(239) 303-2820
Fax(239) 303-2511
Organization SubpartNo
Authorized OfficialGanesh ShenoyOwner · (239) 303-2820
Enumeration DateJuly 2, 2006
Last NPPES UpdateNovember 2, 2021
NPPES CertifiedNovember 2, 2021
✔ NPI 1124057989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in FL · ME84882
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
14181 S TAMIAMI TRL STE 120A, Fort Myers, FL 33912
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.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)

Lee Kidney Center Pa 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.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20050907000927Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lee Kidney Center PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ganesh Shenoy, MD
Nephrology
NPI 1881629129
14181 S TAMIAMI TRL STE 120A
Fort Myers, FL 33912
(239) 303-2820
✔ PECOS✔ Accepts MedicareSame 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 Lee Kidney Center PA's NPI number?

The NPI number for Lee Kidney Center PA is 1124057989. It was assigned to this organization in the NPPES registry on July 2, 2006.

Where is Lee Kidney Center PA located?

Lee Kidney Center PA is located at 14181 S Tamiami Trl Ste 120A, Fort Myers, FL 33912. The listed phone number is (239) 303-2820.

What is Lee Kidney Center PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Lee Kidney Center PA enrolled in Medicare?

Yes. Lee Kidney Center PA is registered in the Medicare PECOS enrollment system.

When is Lee Kidney Center PA'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 Lee Kidney Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Lee Kidney Center PA. 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.

What insurance does Lee Kidney Center PA accept?

Health plans from Wellpoint list Lee Kidney Center PA 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 Lee Kidney Center PA was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.