Active NPI
Digestive Disease Center P a
- Gastroenterology Physician
- Kissimmee, FL
National Provider Identifier
1013028778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lakhinder S Bhatia, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009737200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Gastroenterology Physician
- Kissimmee, FL
- NPI 1619070851
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.