Organization Active NPI

Frontier Gastroenterology and Hepatology LLC

  • Gastroenterology Physician
  • New Port Richey, FL
National Provider Identifier
1447753058
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME128010 Issued in FL
Legal business name
FRONTIER GASTROENTEROLOGY AND HEPATOLOGY LLC
Practice address
8109 State Road 54
New Port Richey, FL 34655
Phone
(800) 454-9454
Fax
(800) 454-9655
NPI assigned
Mar 10, 2018
Last updated
Aug 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Dr. Mohamed Kaif, MDNPI 1437476496
Title
President/Owner/MD
Phone
(800) 454-9454

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X ME128010 FL Primary

Addresses

Primary practice location

8109 State Road 54
New Port Richey, FL 34655

Mailing address

8109 State Road 54
New Port Richey, FL 34655-3000
Phone (800) 454-9454

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180606001218 FL Part B Supplier - Clinic/Group Practice 3577828953 Receives reassigned benefits from 1 practitioner
Practice locations: New Port Richey, FL

National Provider Directory

National Provider Directory

Locations

8109 State Road 54
New Prt Rchy, FL 34655
Phone (727) 232-2462

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1520640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1447753058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346553000",
            "telephone_number": "800-454-9454",
            "fax_number": "800-454-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "800-454-9454",
            "fax_number": "800-454-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER GASTROENTEROLOGY AND HEPATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-10",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "KAIF",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/MD",
        "authorized_official_telephone_number": "800-454-9454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME128010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.