Individual provider Active NPI

Shardul Ashwin Nanavati, M.D.

  • Gastroenterology Physician
  • Naples, FL
National Provider Identifier
1811906779
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME92248 Issued in FL
Practice address
4760 Tamiami Trail North
Suite 27
Naples, FL 34103-3884
Phone
(239) 593-9599
Fax
(239) 593-4099
NPI assigned
Aug 7, 2006
Last updated
Sep 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME92248 FL Primary
Gastroenterology Physician 207RG0100X L4590 TX
Gastroenterology Physician 207RG0100X 055773 GA

Addresses

Primary practice location

4760 Tamiami Trail North
Suite 27
Naples, FL 34103-3884

Mailing address

4760 Tamiami Trail N
Suite 27
Naples, FL 34103
Phone (239) 593-9599

Other identifiers 1

IdentifierTypeStateIssuer
033581638AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070313000000 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 0547213126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Vermont College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Gastroenterology of Naples, LLCGroup PAC ID 1254434483, 6 clinicians

Practice addresses (Care Compare)

3439 Pine Ridge Rd
Naples, FL 34109-3884
Phone (239) 593-9599

4760 Tamiami TRL N
Suite 27
Naples, FL 34103-3057
Phone (239) 593-9599

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.78 of 100Reported as individual
Quality
45.05
Promoting interoperability
60
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy223
Upper gastrointestinal (GI) endoscopy for acid reflux198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
055773GAMDGastroenterology Physician
L4590TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kan Anesthesia,LLC Current Accepting new patients
Advanced Gastroenterology of Naples, LLC Gastroenterology CurrentSince Sep 1, 2006 Accepting new patients
Collier Endoscopy & Surgery Center PastSince Dec 20, 2014 Accepting new patients

Locations

3439 Pine Ridge Rd
Naples, FL 34109
Phone (239) 593-9599

4760 Tamiami Trl N
Ste 27
Naples, FL 34103
Phone (239) 593-9594

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

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

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1811906779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 TAMIAMI TRAIL N",
            "address_2": "SUITE 27",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34103",
            "telephone_number": "239-593-9599",
            "fax_number": "239-593-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 TAMIAMI TRAIL NORTH",
            "address_2": "SUITE 27",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033884",
            "telephone_number": "239-593-9599",
            "fax_number": "239-593-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANAVATI",
        "first_name": "SHARDUL",
        "middle_name": "ASHWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME92248",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "L4590",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "055773",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033581638A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.