Active NPI
Akro Gastro, LLC
- Medical Specialty Clinic/Center
- Okeechobee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- ME10611
- Legal business name
- AKRO GASTRO, LLC
- Practice address
- 201 SW 16TH St
Okeechobee, FL 34974-6117 - Phone
- (863) 824-3347
- Fax
- (863) 824-3472
- NPI assigned
- Apr 13, 2016
- 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. Vikram Tarugu, M.D.
- Title
- Owner
- Phone
- (863) 824-3447
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 |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | ME10611 | FL | Primary |
Addresses
Primary practice location
201 SW 16TH St
Okeechobee, FL 34974-6117
Mailing address
201 SW 16TH St
Okeechobee, FL 34974-6117
Phone (863) 824-3347
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112076000 | Medicaid | FL | |
| PP930 | Other | FL | MEDICARE PTAN |
| 1669836847 | Other | FL | NPI FOR AKRO GASTRO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220822003343 | FL | Part B Supplier - Clinic/Group Practice | 4688057714 |
Receives reassigned benefits from 5 practitioners Practice locations: Okeechobee, FL |
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 |
|---|---|---|---|
| 10D2128320 | Akro Gastro, LLC | Compliance | Oct 14, 2026 |
National Provider Directory
National Provider DirectoryLocations
1109 N Parrott Ave
Okeechobee, FL 34972
Phone (863) 824-3447
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Fort Myers, FL
- NPI 1518121888
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725580800000",
"number": "1669836847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SW 16TH ST",
"city": "OKEECHOBEE",
"state": "FL",
"postal_code": "349746117",
"telephone_number": "863-824-3347",
"fax_number": "863-824-3472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SW 16TH ST",
"city": "OKEECHOBEE",
"state": "FL",
"postal_code": "349746117",
"telephone_number": "863-824-3347",
"fax_number": "863-824-3472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AKRO GASTRO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-13",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A",
"authorized_official_last_name": "TARUGU",
"authorized_official_first_name": "VIKRAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-824-3447",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "FL",
"license": "ME10611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112076000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "PP930",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FOR AKRO GASTRO",
"identifier": "1669836847",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Okeechobee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.