Organization Active NPI

Digestive Disease Center P a

  • Gastroenterology Physician
  • Kissimmee, FL
National Provider Identifier
1013028778
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIGESTIVE DISEASE CENTER P A
Practice address
200 N John Young Pkwy Ste 102
Kissimmee, FL 34741
Phone
(407) 891-8703
Fax
(407) 891-8705
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lakhinder S Bhatia, MDNPI 1619070851
Title
President
Phone
(904) 881-0329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

200 N John Young Pkwy Ste 102
Kissimmee, FL 34741

Mailing address

200 N John Young Pkwy Ste 102
Kissimmee, FL 34741-6601
Phone (407) 891-8703

Other identifiers 1

IdentifierTypeStateIssuer
009737200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090304000362 FL Part B Supplier - Clinic/Group Practice 5395801054 Receives reassigned benefits from 1 practitioner
Practice locations: Kissimmee, FL; Saint Cloud, FL

National Provider Directory

National Provider Directory

Locations

200 N John Young Pkwy
Ste 102
Kissimmee, FL 34741
Phone (407) 891-8703

800 Zeagler Dr
Ste 110
Palatka, FL 32177
Phone (386) 325-9198

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1013028778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N JOHN YOUNG PKWY STE 102",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416601",
            "telephone_number": "407-891-8703",
            "fax_number": "407-891-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N JOHN YOUNG PKWY STE 102",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-891-8703",
            "fax_number": "407-891-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "LAKHINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-881-0329",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009737200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.