Individual provider Active NPI

Lalbahadur S Nagabhairu, MD

  • Gastroenterology Physician
  • Mount Dora, FL
National Provider Identifier
1013956473
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME 83590 Issued in FL
Practice address
2060 N Donnelly St
Mount Dora, FL 32757-2824
Phone
(352) 383-7703
Fax
(352) 383-8875
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME 83590 FL Primary

Addresses

Primary practice location

2060 N Donnelly St
Mount Dora, FL 32757-2824

Mailing address

PO Box 1077
Mount Dora, FL 32756-1077
Phone (352) 383-7703

Other identifiers 1

IdentifierTypeStateIssuer
263334500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051201000165 FL Practitioner - Gastroenterology 7719907161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastro-Intestinal Consultants of Central Florida, LLCGroup PAC ID 0446270995, 2 clinicians

Practice addresses (Care Compare)

2134 Vindale Rd
Tavares, FL 32778-5602
Phone (352) 383-7703

Hospital & facility affiliations

  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290
  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy279
Upper gastrointestinal (GI) endoscopy for acid reflux735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 83590FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Surgical Center LLC Current Accepting new patients
Gastro-Intestinal Consultants of Central Florida, LLC Gastroenterology CurrentSince Nov 1, 2004 Accepting new patients

Locations

2060 N Donnelly St
Mount Dora, FL 32757
Phone (352) 383-7703

2134 Vindale Rd
Tavares, FL 32778
Phone (352) 383-7703

2134 Vindale Rd
Ste 112
Tavares, FL 32778

1501 N US Highway 441
Bldg 1600
The Villages, FL 32159
Phone (352) 750-2040

Networks

  • FL PPO
  • FL HMO
  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: lnagabhairu563389@direct.shands.ufl.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/GDDDCA/Endpoint/GDDDCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013956473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1077",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327561077",
            "telephone_number": "352-383-7703",
            "fax_number": "352-383-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 N DONNELLY ST",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572824",
            "telephone_number": "352-383-7703",
            "fax_number": "352-383-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGABHAIRU",
        "first_name": "LALBAHADUR",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME 83590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263334500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

Verify at the official NPI Registry.