NPIMap

Individual provider Active NPI

Rizwana Thanawala, MD

  • Gastroenterology Physician
  • Lake City, FL
National Provider Identifier
1922082833
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0071429 Issued in FL
Practice address
4355 NW American LN
Lake City, FL 32055-4828
Phone
(386) 758-6094
NPI assigned
Dec 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME0071429 FL Primary

Addresses

Primary practice location

4355 NW American LN
Lake City, FL 32055-4828

Mailing address

4355 NW American LN
Lake City, FL 32055-4828
Phone (386) 758-6094

Other practice location 1

1500 Ohio Ave N
Live Oak, FL 32064-4820
Phone (386) 758-6094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524000148 FL Practitioner - Gastroenterology 6800887704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Digestive Health Specialists, LLPGroup PAC ID 6507054582, 86 clinicians

Practice addresses (Care Compare)

4367 NW American LN
FDHS Lake City LLC
Lake City, FL 32055-4828
Phone (386) 758-6094

Hospital & facility affiliations

  • HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156
  • HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204
  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy175
Upper gastrointestinal (GI) endoscopy for acid reflux90

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0071429FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Digestive Health Specialists, LLP Gastroenterology CurrentSince Apr 1, 2022 Accepting new patients
Pathology Associates of North Florida Current Accepting new patients
Rizwana Thanawala MD PA Gastroenterology CurrentSince Jan 15, 2004 Accepting new patients

Locations

1886 59th St W
Bradenton, FL 34209
Phone (941) 361-1100

417A Racetrack Rd NW
Ste 2
Ft Walton Bch, FL 32547
Phone (850) 863-5990

4355 NW American Ln
Lake City, FL 32055
Phone (386) 758-6094

208 SW Prosperity Pl
Lake City, FL 32024
Phone (386) 487-3930

4367 NW American Ln
Lake City, FL 32055
Phone (386) 758-6094

10920 Technology Ter
Lakewood Ranch, FL 34211
Phone (941) 216-4835

1500 Ohio Ave N
Live Oak, FL 32064
Phone (352) 330-0100

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1922082833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 NW AMERICAN LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554828",
            "telephone_number": "386-758-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 NW AMERICAN LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554828",
            "telephone_number": "386-758-6094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Ohio Ave N",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "FL",
            "postal_code": "320644820",
            "country_code": "US",
            "telephone_number": "386-758-6094",
            "fax_number": "386-758-6995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THANAWALA",
        "first_name": "RIZWANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0071429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.