NPPES file of Aug 9, 2026

Lian Elizabeth Fraga Alfonso, MD

Internal Medicine Physician · Cape Coral, FL

Lian Elizabeth Fraga Alfonso, MD is an internal medicine physician with a practice address in Cape Coral, Florida, and NPI 1184186181, issued on Apr 1, 2019. Check the license (Florida ME152069, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1184186181
Name
Lian Elizabeth Fraga Alfonso
Credential
MD
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
ME152069 FL
Self-reported in NPPES; status is on the state search
Practice location
1682 NE Pine Island RD, Cape Coral, FL 33909
Phone
(239) 424-1600
Enumerated
Apr 1, 2019
Record last updated
Sep 1, 2022
Fax
(239) 343-1640
Medicaid ID
115158500 FL
Medicare enrollment
Enrolled (PECOS I20220819001618); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1682 NE Pine Island RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Katherine Aguilera Zambrano, M.D.Internal Medicine Physician1114375490
  2. Debra Allore, PA-CMedical Physician Assistant1689714081
  3. Brenda Apagueno, PSY.D.Psychologist1588326433
  4. Alexandra BatistaRegistered Nurse1184490906
  5. Keely Cook, PAMedical Physician Assistant1225154743
  6. Shannon Cragin, FNP-BCFamily Nurse Practitioner1447037395

Verify Lian Elizabeth Fraga Alfonso in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license ME152069
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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3.0 times the Medicare Part D claims of the average internal medicine physician in 2024

9,520 Medicare Part D claims for 780 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims.

  1. Lian Fraga Alfonso9,520
  2. Specialty average3,176

Most prescribed

  1. Atorvastatin Calcium517 claims
  2. Rosuvastatin Calcium431 claims
  3. Levothyroxine Sodium397 claims
  4. Amlodipine Besylate395 claims
  5. Lisinopril324 claims
  6. Losartan Potassium293 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Bills Medicare through one group practice

  1. Lee Health System IncCape Coral, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Lian Elizabeth Fraga Alfonso among 10,151 internal medicine physician records in Florida

Lian Elizabeth Fraga Alfonso, MD is one of 10,151 internal medicine physician records with a practice address in Florida. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 82% of them.

  • NPI issued2019 · 82% of these records are older, 14% newer
  • In a Medicare fileYes · 84% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated2000 · median 2004 among the 6,606 with a school on file
  • Record last updated2022 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

71 internal medicine physician records list a practice address in Cape Coral

They are 71 of the 3,453 NPPES records with a practice address in Cape Coral, and 10,151 internal medicine physician records in Florida.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Katherine Aguilera Zambrano, M.D.Cape Coral, FL 339091114375490
  2. Luzmary Allen, D.OCape Coral, FL 339091619951506
  3. Marshall D'Souza, M.D.Cape Coral, FL 339091003899287
  4. Adolfo Delgado, M.D.Cape Coral, FL 339091285055459
  5. Ajay Dhawan, MDCape Coral, FL 339091356365043
  6. Marines FayaCape Coral, FL 339091245790062
  7. Paul Fortier, M.D.Cape Coral, FL 339091851392989
  8. Rolando Gonzalez, M.D.Cape Coral, FL 339091356370696

Common questions

What is Lian Elizabeth Fraga Alfonso, MD's NPI number?

Lian Elizabeth Fraga Alfonso, MD's National Provider Identifier (NPI) is 1184186181, issued on Apr 1, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Lian Elizabeth Fraga Alfonso, MD located?

The NPPES record lists a practice address at 1682 NE Pine Island RD, Cape Coral, FL, 33909. Phone: (239) 424-1600. Providers update this record themselves, so call before visiting.

How can I verify Lian Elizabeth Fraga Alfonso, MD's license?

NPPES lists Florida license number ME152069, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Lian Elizabeth Fraga Alfonso, MD prescribe under Medicare Part D?

In 2024, Lian Elizabeth Fraga Alfonso, MD had 9,520 Medicare Part D claims for 780 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.