Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Costopoulos Bass, MD

Individual provider Cardiovascular Disease Physician · NPI 1134626807

Kelly Costopoulos Bass, MD is a Cardiovascular Disease (Cardiology) in Fort Myers, Florida. Qualified in 2018, 8 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9800 S Healthpark Dr Ste 320
Fort Myers, FL 33908-3630
Phone: (239) 343-6350
Fax: (239) 343-4738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1161 21st Ave South, Nashville, TN 37232 — (615) 322-0417

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence ME168153 (FL)

Record details

NPI number1134626807
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2018
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Fort Myers