Active NPI
Dwarka G Nath, M D
- Gastroenterology Physician
- Davenport, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 51613
- Practice address
- 40124 Highway 27 Ste 204
Davenport, FL 33837-5905 - Phone
- (863) 419-2156
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 51613 | FL | Primary |
Addresses
Primary practice location
40124 Highway 27 Ste 204
Davenport, FL 33837-5905
Mailing address
40124 Highway 27 Ste 204
Davenport, FL 33837-5905
Phone (863) 419-2156
Other practice location 1
825 Century Medical Dr
Titusville, FL 32796-2113
Phone (321) 268-6224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052599500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260
40124 Hwy 27
Suite 204
Davenport, FL 33837-5905
Phone (863) 419-2156
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 37 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 81 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51613 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients | |
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Omni Healthcare, Inc. | Gastroenterology | Current | Accepting new patients |
| Florida Hospital Physician Group Inc | Gastroenterology | Current | Accepting new patients |
Locations
40124 Highway 27
Ste 204
Davenport, FL 33837
Phone (863) 419-2156
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
425 S 11th St
Ste 1
Lake Wales, FL 33853
Phone (844) 634-3627
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032
95 Bulldog Blvd
Ste 202
Melbourne, FL 32901
Phone (321) 676-1870
5005 Port St John Pkwy
Ste 2300
Port St John, FL 32927
Phone (321) 633-8663
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
845 Century Medical Dr
Titusville, FL 32796
Phone (321) 268-6831
250 Harrison St
Titusville, FL 32780
Phone (321) 268-6868
825 Century Medical Dr
Titusville, FL 32796
Phone (321) 567-4991
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- dnath279188@adventhealth.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Gastroenterology
-
- General Acute Care Hospital
- Christiansted, St. Croix, VI
- NPI 1972503647
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- St Croix, VI
- NPI 1740238534
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Heart of Florida
- General Acute Care Hospital
- Davenport, FL
- NPI 1801457510
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1003966870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40124 HIGHWAY 27 STE 204",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338375905",
"telephone_number": "863-419-2156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40124 HIGHWAY 27 STE 204",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338375905",
"telephone_number": "863-419-2156"
}
],
"practiceLocations": [
{
"address_1": "825 Century Medical Dr",
"address_purpose": "LOCATION",
"city": "Titusville",
"state": "FL",
"postal_code": "327962113",
"country_code": "US",
"telephone_number": "321-268-6224",
"fax_number": "321-268-6229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NATH",
"first_name": "DWARKA",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "51613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "052599500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.