NPIMap

Organization Active NPI

Advanced Gastroenterology of South Florida, P.a.

  • Gastroenterology Physician
  • Hialeah, FL
National Provider Identifier
1063845113
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS11861 Issued in FL
Legal business name
ADVANCED GASTROENTEROLOGY OF SOUTH FLORIDA, P.A.
Practice address
7100 W 20TH Ave
Suite 301
Hialeah, FL 33016-1897
Phone
(305) 556-3727
NPI assigned
Aug 13, 2013
Last updated
Aug 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Dr. Karthik MohanNPI 1447695564
Title
President
Phone
(305) 556-3727

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 Physician 207RG0100X OS11861 FL Primary

Addresses

Primary practice location

7100 W 20TH Ave
Suite 301
Hialeah, FL 33016-1897

Mailing address

7100 W 20TH Ave
Suite 301
Hialeah, FL 33016-1897
Phone (305) 556-3727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131002000185 FL Part B Supplier - Clinic/Group Practice 3274767421 Receives reassigned benefits from 3 practitioners
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Locations

7100 W 20th Ave
Ste 105
Hialeah, FL 33016
Phone (305) 556-3727

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJAECA

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1063845113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE",
            "address_2": "SUITE 301",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161897",
            "telephone_number": "305-556-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE",
            "address_2": "SUITE 301",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161897",
            "telephone_number": "305-556-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED GASTROENTEROLOGY OF SOUTH FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "KARTHIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-556-3727",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "OS11861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.