Organization Active NPI

Gi Medical Specialists, PLLC

  • Gastroenterology Physician
  • Tallahassee, FL
National Provider Identifier
1336504125
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME120003 Issued in FL
Legal business name
GI MEDICAL SPECIALISTS, PLLC
Practice address
2626 Care Dr
Ste 101
Tallahassee, FL 32308-4495
Phone
(850) 733-6560
Fax
(850) 733-6563
NPI assigned
Dec 21, 2015
Last updated
Jun 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Kishor Muniyappa, M.D.
Title
Owner
Phone
(804) 647-3751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME120003 FL Primary

Addresses

Primary practice location

2626 Care Dr
Ste 101
Tallahassee, FL 32308-4495

Mailing address

2626 Care Dr Ste 101
Tallahassee, FL 32308-4489

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160415001482 FL Part B Supplier - Clinic/Group Practice 4385942820 Receives reassigned benefits from 4 practitioners
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

4012 Kelcey Ct
Ste 103
Tallahassee, FL 32308
Phone (850) 297-0351

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10085242

Practitioners & affiliated clinicians

Practitioners 5

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": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1336504125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 CARE DR STE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 CARE DR",
            "address_2": "STE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084495",
            "telephone_number": "850-733-6560",
            "fax_number": "850-733-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI MEDICAL SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "MUNIYAPPA",
        "authorized_official_first_name": "KISHOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-647-3751",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME120003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.