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

Yelena Vidgop, MD

Individual provider Neurology Physician · NPI 1336300771

Yelena Vidgop, MD is a Neurology in Fort Myers, Florida. Qualified in 2006, 20 years ago. Practices with Lakeland Medical Practices, a 287-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida, Michigan, Missouri and Mississippi and 8 more.

Years since qualifying
20
Licensed in
FL, MI, MO, MS, ND, NH
In the registry since
2008
Specialties on file
14
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

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone: (239) 208-2212
Fax: (239) 208-3994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2790 Clay Edwards Dr Ste 1235, North Kansas City, MO 64116-3276 — (816) 472-5157
  • 172 Kinsley St, Nashua, NH 03060-3648 — (603) 882-3000
  • 630 Eaton Ave, Hamilton, OH 45013-2767 — (513) 867-2000
  • 1250 S Cedar Crest Blvd Ste 405, Allentown, PA 18103-6224 — (610) 402-8420

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence ME 115465 (FL)
Neurology Physician Taxonomy 2084N0400X · Licence 4301114222 (MI)
Neurology Physician Taxonomy 2084N0400X · Licence MD468456 (PA)
Neurology Physician Taxonomy 2084N0400X · Licence 296846 (NY)
Neurology Physician Taxonomy 2084N0400X · Licence ME115465 (FL)
Neurology Physician Taxonomy 2084N0400X · Licence MD.60803515 (WA)
Neurology Physician Taxonomy 2084N0400X · Licence 2020003927 (MO)
Hospitalist Physician Taxonomy 208M00000X · Licence ME115465 (FL)
Neurology Physician Taxonomy 2084N0400X · Licence MD186189 (OR)
Neurology Physician Taxonomy 2084N0400X · Licence 35.132438 (OH)
Neurology Physician Taxonomy 2084N0400X · Licence R9555 (TX)
Neurology Physician Taxonomy 2084N0400X · Licence 25796 (MS)
Neurology Physician Taxonomy 2084N0400X · Licence 18762 (NH)
Neurology Physician Taxonomy 2084N0400X · Licence 15020 (ND)

Record details

NPI number1336300771
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2008
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Lakeland Medical Practices — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations12 on file with Medicare

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