Active NPI
Mogilishetty PLLC
- Nephrology Physician
- Lehigh Acres, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- MOGILISHETTY PLLC
- Practice address
- 3400 Lee Blvd Ste 112
Lehigh Acres, FL 33971-1309 - Phone
- (239) 939-0999
- Fax
- (239) 939-1070
- NPI assigned
- Sep 4, 2020
- 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
- Gautham Mogilishetty
- Title
- MD
- Phone
- (239) 939-0999
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
3400 Lee Blvd Ste 112
Lehigh Acres, FL 33971-1309
Mailing address
3400 Lee Blvd Ste 112
Lehigh Acres, FL 33971-1309
Phone (239) 939-0999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201105000038 | FL | Part B Supplier - Clinic/Group Practice | 0648680579 |
Receives reassigned benefits from 8 practitioners Practice locations: Bonita Springs, FL; Cape Coral, FL; Fort Myers, FL; Lehigh Acres, FL; Naples, FL; New Smyrna Beach, 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 |
|---|---|---|---|
| 10D2312046 | Mogilishetty PLLC | Certificate of waiver | Oct 2, 2026 |
National Provider Directory
National Provider DirectoryLocations
9550 Bonita Beach Rd SE
Bonita Springs, FL 34135
Phone (239) 444-1919
10012 Gulf Center Dr
#5292
Fort Myers, FL 33913
10012 Gulf Center Dr
Ste 5292
Fort Myers, FL 33913
3400 Lee Blvd
Ste 112
Lehigh Acres, FL 33971
12250 Tamiami Trl E
#103104
Naples, FL 34113
12250 Tamiami Trl E
Ste 103104
Naples, FL 34113
Phone (239) 513-1002
12250 Tamiami Trl E
Ste 103
Naples, FL 34113
Phone (239) 610-1241
12250 Tamiami Trl E
Naples, FL 34113
Phone (239) 417-0027
Practitioners & affiliated clinicians
Practitioners 19
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Fort Myers, FL
- NPI 1730948084
-
- Family Nurse Practitioner
- Fort Myers, FL
- NPI 1013518414
-
- Gerontology Nurse Practitioner
- Fort Myers, FL
- NPI 1790420511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769644800000",
"number": "1972117109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 LEE BLVD STE 112",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339711309",
"telephone_number": "239-939-0999",
"fax_number": "239-939-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 LEE BLVD STE 112",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339711309",
"telephone_number": "239-939-0999",
"fax_number": "239-939-1070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOGILISHETTY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-04",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A",
"authorized_official_last_name": "MOGILISHETTY",
"authorized_official_first_name": "GAUTHAM",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "239-939-0999"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.