Gourisankar Prasad Degala, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME113998 Issued in FL

Practice address

920 S Myrtle Ave
Suite a
Clearwater, FL 33756-3916

Phone

(727) 462-0444

Fax

(727) 462-0446

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

West Central Gastroenterology LLPGroup PAC ID 0648322362, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
• Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• West Central Gastroenterology LLP

  • Gastroenterology Physician
  • Clearwater, FL
  • NPI 1144454703
  Medicare reassignment Care Compare group NPD
• Advanced Digestive Care P a

  • Gastroenterology Physician
  • Clearwater, FL
  • NPI 1962569111
  NPD
• Gastro Florida Pharmacy, LLC

  • Pharmacy
  • Clearwater, FL
  • NPI 1285272815
  NPD
• Gastroenterology Consultants of Clearwater

  • Gastroenterology Physician
  • Clearwater, FL
  • NPI 1528122827
  NPD (past)
• Hospital Consultants, P.C.

  • Internal Medicine Physician
  • Royal Oak, MI
  • NPI 1073543013
  NPD (past)
• Wakemed Faculty Practice Plan

  • Pediatric Critical Care Medicine Physician
  • Raleigh, NC
  • NPI 1013203819
  NPD (past)
• Wakemed Faculty Practice Plan

  • Surgery Physician
  • Raleigh, NC
  • NPI 1396791786
  NPD (past)

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

• Morton Plant Hospital Association Inc

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1376529743
  Care Compare affiliation
• Trustees of Mease Hospital Inc

  • General Acute Care Hospital
  • Dunedin, FL
  • NPI 1336125640
  Care Compare affiliation

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1245440361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EXECUTIVE DR STE 130",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337625323",
            "telephone_number": "727-347-0005",
            "fax_number": "727-541-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S MYRTLE AVE",
            "address_2": "SUITE A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563916",
            "telephone_number": "727-462-0444",
            "fax_number": "727-462-0446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3280 N McMullen Booth Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612046",
            "country_code": "US",
            "telephone_number": "727-286-6130",
            "fax_number": "727-462-0446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGALA",
        "first_name": "GOURISANKAR",
        "middle_name": "PRASAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME113998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Anne Deer, LCSW
• Jennifer Deering-Darza
• Def Clearwater PLLC
• Rhonda Lynn Defelice, COTA/L
• Cassandra Degaetano
• Degc Enterprises (U.S.), Inc.
• Christina Renae Degenhardt, MA, LMHC
• Tanya Jeanette Degroot, D.O.
• Robert William Dejoy III, DO
• Duane Dekeyser, L.M.T.

• Gastroenterology Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.