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

Shant John Manoushagian, MD

Individual provider Cardiovascular Disease Physician · NPI 1205191699

Shant John Manoushagian, MD is a Cardiovascular Disease (Cardiology) in Fort Myers, Florida. Qualified in 2012, 14 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, New York and Pennsylvania.

Years since qualifying
14
Licensed in
FL, NY, PA
In the registry since
2012
Specialties on file
3
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

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone: (239) 343-6860
Fax: (239) 343-6162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Gustave L Levy Pl, New York, NY 10029 — (215) 707-3397
  • 3401 N Broad St, Philadelphia, PA 19140-5103 — (215) 707-3397

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence ME167029 (FL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence MD457729 (PA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 292937 (NY)

Record details

NPI number1205191699
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2012
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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