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

Lilly Ann Bayouth, MD

Individual provider Trauma Surgery Physician · NPI 1053731133

Lilly Ann Bayouth, MD is a General Surgery in Fort Myers, Florida. Qualified in 2014, 12 years ago. Practices with Lee Health System Inc, a 1,375-clinician group and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
12
Licensed in
FL, NC
In the registry since
2014
Specialties on file
2
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

13685 Doctors Way Ste 100
Fort Myers, FL 33912-4337
Phone: (239) 343-1612
Fax: (239) 343-4229
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence ME163279 (FL)
Surgery Physician Taxonomy 208600000X · Licence 2021-01560 (NC)

Record details

NPI number1053731133
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2014
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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