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VIJAY GANATRA M.D.
NPI 1215992144
Internal Medicine in Fort Myers, FL

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
13770 PLANTATION RD, UNIT 4, FORT MYERS, FL 33912(239) 561-6263(239) 561-6264 Get Directions Write a Review

NPPES record last updated: March 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vijay Ganatra M.d. NPPES

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

VIJAY GANATRA M.D. (NPI 1215992144) is an individual internal medicine provider in Fort Myers, Florida, licensed in Florida (ME84201) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1215992144
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVIJAY GANATRACredential: M.D.
Location Address13770 PLANTATION RD, UNIT 4Fort Myers, FL 33912-4460
Mailing Address13770 Plantation Rd Ste 4Fort Myers, FL 33912-4460 · (239) 561-6263 · Fax (239) 561-6264
Phone(239) 561-6263
Fax(239) 561-6264
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateApril 20, 2006
Last NPPES UpdateMarch 14, 2018
✔ NPI 1215992144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME84201
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.
13770 PLANTATION RD, Fort Myers, FL 33912
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Other Identifiers 2

Medicaid263735900FL
OtherP00854687FL · Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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

Vijay Ganatra M.d. 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 ID547393522
PECOS Enrollment IDI20100727001070
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
4,355 services622 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,070 services565 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
571 services471 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
254 services226 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
97 services97 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
48 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

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 33912 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.5
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%928 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,160 patients5/55-star benchmark: 100%
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
100%101 patients5/55-star benchmark: 100%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
100%101 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier23 claims23 services$45.66 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
2 suppliers11 claims11 services$58.57 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier14 claims14 services$13.20 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier36 claims36 services$53.25 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
9 suppliers106 claims114 services$14.44 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers44 claims44 services$4.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

VIJAY GANATRA, M.D., P.A.
Internal Medicine
13770 PLANTATION RD, UNIT 4
FORT MYERS, FL 33912
Lee County (239) 561-6263
JAYSHREE V GANATRA M.D.
Pediatrics (Pediatric Gastroenterology)
13770 PLANTATION RD, UNIT 4
FORT MYERS, FL 33912
Lee County (239) 561-6365
DR. NAGESH B RAVIPATI M.D.
Colon & Rectal Surgery
13770 PLANTATION RD, SUITE 2
FORT MYERS, FL 33912
Lee County (239) 275-0728
PEDIATRIC GASTROENTEROLOGY OF FLORIDA , PA
Pediatrics (Pediatric Gastroenterology)
13770 PLANTATION RD, UNIT 4
FORT MYERS, FL 33912
Lee County (239) 561-6365
DR. JEFFREY ALLAN NEALE MD
Colon & Rectal Surgery
13770 PLANTATION RD, SUITE 2
FORT MYERS, FL 33912
Lee County (239) 275-0728
JANETTE U. GAW MD
Colon & Rectal Surgery
13770 PLANTATION RD, SUITE 2
FORT MYERS, FL 33912
Lee County (239) 275-0728
KRYSTA JEAN DEFTY PA-C
Physician Assistant
13770 PLANTATION RD, SUITE 2
FORT MYERS, FL 33912
Lee County (239) 275-0728
VALERIE R. DYKE MD
Colon & Rectal Surgery
13770 PLANTATION RD, SUITE 2
FORT MYERS, FL 33912
Lee County (239) 275-0728

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 Vijay Ganatra's NPI number?

The NPI number for Vijay Ganatra is 1215992144. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Vijay Ganatra located?

Vijay Ganatra practices at 13770 Plantation Rd Unit 4, Fort Myers, FL 33912. The listed phone number is (239) 561-6263.

What is Vijay Ganatra's specialty?

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

Is Vijay Ganatra enrolled in Medicare?

Yes. Vijay Ganatra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vijay Ganatra accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Vijay Ganatra 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.

Is Vijay Ganatra affiliated with any hospitals?

According to CMS data, Vijay Ganatra is affiliated with Lee Memorial Hospital, Gulf Coast Medical Center Lee Health and Cape Coral Hospital.

When was this NPI record last updated?

The NPPES record for Vijay Ganatra was last updated on March 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.