BANAFSHEH KIANKHOOY FARD M.D.
NPI 1174819395
Pediatrics - Adolescent Medicine in Fort Myers, FL
NPI Status: Active since June 27, 2011
Contact Information
2780 CLEVELAND AVE STE 709
FORT MYERS, FL
ZIP 33901
Phone: (239) 343-3831
Fax: (239) 343-2301
- Individual
- Female
- Pediatrics
- Adolescent Medicine
- Accepts Insurance
- PECOS Enrolled
About BANAFSHEH KIANKHOOY FARD
This page provides the complete NPI Profile along with additional information for Banafsheh Kiankhooy Fard, a pediatrician established in Fort Myers, Florida with a medical specialization in Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1174819395 assigned on June 2011. The practitioner's primary taxonomy code is 2080A0000X with license number ME119702 (FL). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1174819395
- Provider Name
- BANAFSHEH KIANKHOOY FARD M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901
- Location Phone
- (239) 343-3831
- Location Fax
- (239) 343-2301
- Mailing Address
- PO BOX 2147 FORT MYERS, FL 33902
- Mailing Phone
- (239) 343-3831
- Mailing Fax
- (239) 343-2301
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-27-2011
- Last Update Date
- 05-17-2018
- Code Navigator
A pediatrician like Banafsheh Kiankhooy Fard is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME119702
- License State
- FL
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear VALUE Silver - HMO
- Complete VALUE Gold - HMO
- Focused VALUE Silver - HMO
- Focused VALUE Silver + Vision + Adult Dental - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Standard Silver VALUE + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete VALUE Gold - HMO
- Complete VALUE Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Elite VALUE Bronze - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ME119702 | OTHER (01) | FL | LICENSE |
Medicare Participation & PECOS Enrollment Status
Banafsheh Kiankhooy Fard is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for BANAFSHEH KIANKHOOY FARD M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 8 | 1 | 9 | 3 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 16 | 1 | 18 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 6 + 1 + 1 + 8 + 3 + 1 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1174819395 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780098087 | MICHAEL KENNETH HEILAND MD Individual | Family Medicine | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-3831 |
| 1902867054 | JAMES O BREEN M.D. Individual | Family Medicine | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-3831 |
| 1952828832 | JACQUELINE STEPHANIE HIDALGO PSY-D Individual | Psychologist | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-3831 |
| 1568046050 | SANDY BOLIS DO Individual | Student in an Organized Health Care Education/Training Program | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-2551 |
| 1972088631 | RENEE LOK-YEE WONG SOUCIER MD Individual | Family Medicine | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-2551 |
| 1225779937 | DR. APRIL KAY BURTON DO Individual | Student in an Organized Health Care Education/Training Program | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 223-1478 |
| 1417452996 | KRISTIN RANDA DO Individual | Family Medicine | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-3831 |
| 1497314884 | DELAYNA HORSFORD MD Individual | Family Medicine | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-2551 |
| 1396306320 | DR. JORDAN MICHAEL REID MD Individual | Family Medicine | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-2551 |
| 1821656216 | GABRIELA ALEJANDRA AVILES Individual | Family Medicine | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-2551 |
| 1891498341 | CATHERINE SCUDLO MD Individual | Student in an Organized Health Care Education/Training Program | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-2551 |
| 1922177260 | DR. PAUL GREGORY SIMEONE PH.D. Individual | Psychologist (Clinical) | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-3831 |
| 1912526740 | HARIA HENRY MD Individual | Family Medicine | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-3831 |
| 1942990957 | JENNA DUFFY PA-C Individual | Physician Assistant | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-3831 |
| 1518608942 | DR. JOANNA GREENHALGH DO Individual | Family Medicine | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-2371 |
| 1659012623 | MARK FAM DO Individual | Family Medicine | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-2371 |
| 1801537550 | DR. STEPHANIE CRUZ DO Individual | Family Medicine | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-3831 |
| 1245972611 | ANTONY MIKHAIL Individual | Family Medicine | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-2371 |
| 1164165643 | DR. SNIGDHA ILA DO Individual | Family Medicine | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-3831 |
| 1598525156 | MAJED RAMI AMMARI DO Individual | Student in an Organized Health Care Education/Training Program | 2780 CLEVELAND AVE STE 709 FORT MYERS, FL 33901 (239) 343-2551 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174819395, enumerated in the NPI registry as an "individual" on June 27, 2011
The provider is located at 2780 Cleveland Ave Ste 709 Fort Myers, Fl 33901 and the phone number is (239) 343-3831
The provider's speciality is Pediatrics with taxonomy code 2080A0000X with a focus in Adolescent Medicine
The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on June 27, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.