AMALIA DORIS ARDELJAN MD
NPI 1164125357
Internal Medicine in Cape Coral, FL

Q: What is Amalia Ardeljan's NPI number?

The NPI number for Amalia Ardeljan is 1164125357. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Q: What is Amalia Ardeljan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Amalia Ardeljan was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since March 24, 2023PECOS EnrolledAccepts Medicare Assignment

224 SANTA BARBARA BLVD STE 102, CAPE CORAL, FL 33991(239) 424-1900(239) 424-1908 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 10, 2025, Nov 6, 2025, Mar 24, 2023 (3 updates tracked since 2023).

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About Amalia Doris Ardeljan Md NPPES

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

AMALIA DORIS ARDELJAN MD (NPI 1164125357) is an individual internal medicine provider in Cape Coral, Florida, licensed in Florida (ME175340) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains a secondary practice location in Cape Coral.

NPPES Registry Identity

NPI1164125357

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameAMALIA DORIS ARDELJANCredential: MD

Location Address224 SANTA BARBARA BLVD STE 102Cape Coral, FL 33991-2038

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 424-1900 · Fax (239) 424-1908

Phone(239) 424-1900

Fax(239) 424-1908

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 24, 2023

Last NPPES UpdateDecember 10, 20253 updates tracked since enumeration

NPPES CertifiedDecember 10, 2025

✔ NPI 1164125357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME175340

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

224 SANTA BARBARA BLVD STE 102, Cape Coral, FL 33991

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Secondary Practice Location 1

Location 1636 Del Prado Blvd SCape Coral, FL 33990-2668 · Phone (239) 424-3161

Other Identifiers 1

Medicaid129167000FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amalia Doris Ardeljan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365933678

PECOS Enrollment IDI20251114001643

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100244

Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33991 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIFFANY MARIE CAVIN DO

Internal Medicine