Gastro MD Florida, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTRO MD FLORIDA, LLC

Practice address

2884 Wellness Ave Ste 100
Orange City, FL 32763-8427

Phone

(386) 668-2221

Fax

(386) 668-2228

NPI assigned

Nov 7, 2006

Last updated

Nov 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vishal Gupta, MDNPI 1255449179

Title

President

Phone

(386) 668-2221

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

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

Practitioners 37

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.

• Vishal Gupta, MD

  • Gastroenterology Physician
  • Orange City, FL
  • NPI 1255449179
  Medicare reassignment Care Compare group NPD Authorized official
• James K Allen, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Leesburg, FL
  • NPI 1073592812
  Medicare reassignment Care Compare group NPD
• Yadis Arroyo, MD

  • Gastroenterology Physician
  • Tampa, FL
  • NPI 1790238269
  Medicare reassignment Care Compare group NPD
• Martin R Austria, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Eustis, FL
  • NPI 1902885999
  Medicare reassignment Care Compare group NPD
• Meredith Butler, A.R.N.P

  • Adult Health Nurse Practitioner
  • Tampa, FL
  • NPI 1760715569
  Medicare reassignment Care Compare group NPD
• Ahmed Elbanna, D.O.

  • Gastroenterology Physician
  • Orange City, FL
  • NPI 1003279761
  Medicare reassignment Care Compare group NPD
• Richard Dinis Ferrer Jr.

  • Family Nurse Practitioner
  • New Smyrna Beach, FL
  • NPI 1689243610
  Medicare reassignment Care Compare group NPD
• Sara Forman

  • Nurse Practitioner
  • Tampa, FL
  • NPI 1902271331
  Medicare reassignment Care Compare group NPD
• Alakh Gulati

  • Gastroenterology Physician
  • Orange City, FL
  • NPI 1407397656
  Medicare reassignment Care Compare group NPD
• Litza Hernandez-Munoz, APRN

  • Gastroenterology Physician
  • Orange City, FL
  • NPI 1497531420
  Medicare reassignment Care Compare group NPD
• Liurka V Lopez, M.D.

  • Anatomic Pathology Physician
  • Daytona Beach, FL
  • NPI 1801145032

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Wei Lu, MD

  • Gastroenterology Physician
  • Orange City, FL
  • NPI 1497284764
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1821167230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2884 WELLNESS AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638427",
            "telephone_number": "386-668-2221",
            "fax_number": "386-668-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2884 WELLNESS AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638427",
            "telephone_number": "386-668-2221",
            "fax_number": "386-668-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO MD FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-668-2221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "AB449",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prachi Gandhi, DO
• Angel Garcia, DC
• Jose Enrique Garcia, D.D.S.
• Myrna A Garcia, M.D.
• Elsa F Garnica, APRN
• Gastroenterology and Liver Diseases of Central Florida PA
• Alexandra Jean Geary, ARNP
• Genesis Family Practice, LLC
• George T Besong MD OB/GYN LLC (Women's Health Resource Center)
• Edgar B George, M.D.

• Gastroenterology Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.