DR. OTAKHON MATCHANOV MD
NPI 1578158333
Hospitalist in Fort Myers, FL
About Dr. Otakhon Matchanov Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. OTAKHON MATCHANOV MD (NPI 1578158333) is an individual hospitalist provider in Fort Myers, Florida, licensed in Florida (ME182444) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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
Dr. Otakhon Matchanov 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33919 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT MYERS, FL 33919
FORT MYERS, FL 33919
FORT MYERS, FL 33919
FORT MYERS, FL 33919
FORT MYERS, FL 33919
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 Otakhon Matchanov's NPI number?
The NPI number for Otakhon Matchanov is 1578158333. It was assigned to this individual provider in the NPPES registry on March 3, 2021.
Where is Otakhon Matchanov located?
Otakhon Matchanov practices at 12600 Creekside Ln Ste 2, Fort Myers, FL 33919. The listed phone number is (239) 343-9235.
What is Otakhon Matchanov's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Otakhon Matchanov enrolled in Medicare?
Yes. Otakhon Matchanov 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.
When was this NPI record last updated?
The NPPES record for Otakhon Matchanov was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.
# Dr. Otakhon Matchanov, MD · NPI 1578158333
Hospitalist physician in Fort Myers, Florida. Individual provider, active in the CMS NPPES registry since March 3, 2021.
## Identity
- **NPI:** 1578158333 (Entity type: Individual)
- **Enumerated:** March 3, 2021
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** ME182444 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12600 CREEKSIDE LN STE 2, Fort Myers, FL 33919-3353
- **Phone:** (239) 343-9235
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** August 21, 2026
- **Other identifiers:** Medicaid 131804200 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1578158333) · Data from the CMS NPPES public registry.