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BANAFSHEH KIANKHOOY FARD M.D.
NPI 1174819395
Pediatrics - Adolescent Medicine in Fort Myers, FL

Active since June 27, 2011PECOS Enrolled
2780 CLEVELAND AVE STE 709, FORT MYERS, FL 33901(239) 343-3831(239) 343-2301 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Banafsheh Kiankhooy Fard M.d. NPPES

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

BANAFSHEH KIANKHOOY FARD M.D. (NPI 1174819395) is an individual adolescent medicine provider in Fort Myers, Florida, licensed in Florida (ME119702) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174819395
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameBANAFSHEH KIANKHOOY FARDCredential: M.D.
Location Address2780 CLEVELAND AVE STE 709Fort Myers, FL 33901-5857
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-3831 · Fax (239) 343-2301
Phone(239) 343-3831
Fax(239) 343-2301
Sole ProprietorNo
Enumeration DateJune 27, 2011
Last NPPES UpdateMay 17, 2018
✔ NPI 1174819395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in FL · ME119702
Definition

A pediatrician 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.

2780 CLEVELAND AVE STE 709, Fort Myers, FL 33901
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Other Identifiers 1

OtherME119702FL · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Banafsheh Kiankhooy Fard M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

MICHAEL KENNETH HEILAND MD
Family Medicine
2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
Lee County (239) 343-3831
JAMES O BREEN M.D.
Family Medicine
2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
Lee County (239) 343-3831
JACQUELINE STEPHANIE HIDALGO PSY-D
Psychologist
2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
Lee County (239) 343-3831
KRISTIN RANDA DO
Family Medicine
2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
Lee County (239) 343-3831
DELAYNA HORSFORD MD
Family Medicine
2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
Lee County (239) 343-2551
DR. JORDAN MICHAEL REID MD
Family Medicine
2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
Lee County (239) 343-2551
GABRIELA ALEJANDRA AVILES
Family Medicine
2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
Lee County (239) 343-2551
CATHERINE SCUDLO MD
Student in an Organized Health Care Education/Training Program
2780 CLEVELAND AVE STE 709
FORT MYERS, FL 33901
Lee County (239) 343-2551

Frequently Asked Questions

What is Banafsheh Kiankhooy Fard's NPI number?

The NPI number assigned to this healthcare provider is 1174819395, enumerated as an "individual" on June 27, 2011.

Where is the provider located?

The provider is located at 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 and the phone number is (239) 343-3831.

What is the provider's specialty?

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

What insurance does Banafsheh Kiankhooy Fard accept?

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.