Active NPI
Mrinal Sen Garg, M.D.
- Gastroenterology Physician
- Pompano Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME135849
- Practice address
- 601 E Sample Rd Ste 105
Pompano Beach, FL 33064 - Phone
- (954) 943-1133
- NPI assigned
- Dec 9, 2012
- Last updated
- Sep 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Gastroenterology Physician | 207RG0100X | ME135849 | FL | Primary |
Addresses
Primary practice location
601 E Sample Rd Ste 105
Pompano Beach, FL 33064
Mailing address
601 E Sample Rd Ste 105
Pompano Beach, FL 33064-4443
Other practice location 1
4515 Wiles Rd Ste 201
Coconut Creek, FL 33073-3414
Phone (954) 943-1133
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- New York Medical College, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4515 Wiles Rd
Suite 201
Coconut Creek, FL 33073-3414
Phone (954) 943-1133
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 39 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Subhash C. Gupta, MD, PA | Single Specialty | Current | Accepting new patients |
| South Florida Surgical Specialists LLC | Single Specialty | Current | Accepting new patients |
Locations
4515 Wiles Rd
Ste 201
Coconut Creek, FL 33073
Phone (954) 943-1133
601 E Sample Rd
Ste 105
Deerfield Beach, FL 33064
Phone (954) 344-2522
3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Coral Springs, FL
- NPI 1952409963
Single Specialty
-
- Gastroenterology Physician
- Pompano Beach, FL
- NPI 1396005153
Single Specialty
-
- Gastroenterology Physician
- Coconut Creek, FL
- NPI 1003448242
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boynton Beach, FL
- NPI 1417952748
-
dba Delray Medical Center
- General Acute Care Hospital
- Delray Beach, FL
- NPI 1326078288
-
dba Broward Health Lighthouse Point ER
- General Acute Care Hospital
- Pompano Beach, FL
- NPI 1376571323
-
dba Broward Health North
- Emergency Care Clinic/Center
- Lighthouse Point, FL
- NPI 1720936792
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1427393065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E SAMPLE RD STE 105",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330644443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E SAMPLE RD STE 105",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "33064",
"telephone_number": "954-943-1133"
}
],
"practiceLocations": [
{
"address_1": "4515 Wiles Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Coconut Creek",
"state": "FL",
"postal_code": "330733414",
"country_code": "US",
"telephone_number": "954-943-1133",
"fax_number": "954-783-6845",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARG",
"first_name": "MRINAL",
"middle_name": "SEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-09",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME135849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.