Individual provider

Ann Boudreaux, M.D.

Emergency Medicine Physician Internal Medicine Physician Medicare enrolled

Ann Boudreaux, M.D. is an Emergency Medicine Physician in Ft Myers, FL, registered under NPI 1487655569. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 4771 S CLEVELAND AVE, Ft Myers, FL 33907. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4771 S CLEVELAND AVE, Ft Myers, FL 33907 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
ME0063794 FL Emergency Medicine Physician primary
ME063794 FL Internal Medicine Physician

This provider holds licence ME0063794 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Emergency Medicine
PAC ID
8527182666
Enrollment ID
I20100826000739

Medicare enrolment is recorded as approved under the provider type Practitioner - Emergency Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Emergency Medicine covers

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. NUCC Health Care Provider Taxonomy, code 207P00000X
Allopathic & Osteopathic Physicians Emergency Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207P00000X Emergency Medicine Physician ME0063794 FL primary
207R00000X Internal Medicine Physician ME063794 FL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1487655569 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 10, 2005
Last updatedOct 11, 2023
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 4771 S CLEVELAND AVE
Ft Myers, FL 33907
(239) 343-9800
Fax (239) 343-9848
Mailing address PO BOX 2147
Ft Myers, FL 33902
Other identifiers 259188000 · Medicaid (FL)
This record was updated on Oct 11, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1487655569 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 8 7 6 5 5 5 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 7 7 3 5 1 5 3

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1487655569?
NPI 1487655569 is the National Provider Identifier assigned to Ann Boudreaux, M.D. in Ft Myers, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Emergency Medicine Physician cover?
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care…
How do I contact Ann Boudreaux, M.D.?
The phone number on file with NPPES is (239) 343-9800, last updated Oct 11, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Ann Boudreaux, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1487655569 a valid number?
Yes. 1487655569 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.