Active NPI
Digestive Disease Specialist of Manatee PL
- Gastroenterology Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME85682
- Legal business name
- DIGESTIVE DISEASE SPECIALIST OF MANATEE PL
- Practice address
- 4502 Cortez Rd W Ste 204
Bradenton, FL 34210-3124 - Phone
- (941) 761-1800
- NPI assigned
- Mar 12, 2007
- 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
- Dr. Rimantas Zalepuga, M.D.
- Title
- Member
- Phone
- (941) 761-1800
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 | ME85682 | FL | Primary |
Addresses
Primary practice location
4502 Cortez Rd W Ste 204
Bradenton, FL 34210-3124
Mailing address
PO Box 15089
Bradenton, FL 34280-5089
Phone (941) 761-1800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC1249 | Other | FL | RAIL ROAD MEDICARE |
| 6102336 | Other | FL | CIGNA |
| 271367500 | Medicaid | FL | |
| 74735 | Other | FL | BCBS |
| 9751349 | Other | FL | GHI |
Other names 1
- DDSOM
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1095975 | Digestive Disease Specialists of Manatee PL | Compliance | Apr 28, 2027 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Certified Registered Nurse Anesthetist
- Bradenton, FL
- NPI 1699153064
Member Of
Locations
4502 Cortez Rd W
Ste 204
Bradenton, FL 34210
Phone (941) 761-1800
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Bradenton, FL
- NPI 1316977499
-
- Colon & Rectal Surgery Physician
- Venice, FL
- NPI 1770584583
-
- Internal Medicine Physician
- Riverview, FL
- NPI 1497389050
-
- Clinical Pathology/Laboratory Medicine Physician
- Coral Gables, FL
- NPI 1093745341
-
- Family Nurse Practitioner
- Bradenton, FL
- NPI 1982821757
-
- Gastroenterology Physician
- Bradenton, FL
- NPI 1821093576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628640000000",
"number": "1174655211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15089",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342805089",
"telephone_number": "941-761-1800",
"fax_number": "941-761-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 CORTEZ RD W STE 204",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342103124",
"telephone_number": "941-761-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGESTIVE DISEASE SPECIALIST OF MANATEE PL",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A",
"authorized_official_last_name": "ZALEPUGA",
"authorized_official_first_name": "RIMANTAS",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "941-761-1800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME85682",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "DC1249",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6102336",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271367500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "74735",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "9751349",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DDSOM",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "DDSOM",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.