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
- Last updated
- Jan 29, 2026
- 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
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
Ste 108
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
7981 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 425-6633
3400 Lee Blvd
Ste 112
Lehigh Acres, FL 33971
12250 Tamiami Trl E
Naples, FL 34113
Phone (239) 417-0027
12250 Tamiami Trl E
#103104
Naples, FL 34113
12250 Tamiami Trl E
Ste 103
Naples, FL 34113
Phone (239) 610-1241
Practitioners & affiliated clinicians
Practitioners 19
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.
-
- Nephrology Physician
- Lehigh Acres, FL
- NPI 1649237314
-
- Nephrology Physician
- Jacksonville, FL
- NPI 1720508922
-
- Adult Health Nurse Practitioner
- Naples, FL
- NPI 1679938237
-
- Nephrology Physician
- Fort Myers, FL
- NPI 1952897084
-
- Nephrology Physician
- Naples, FL
- NPI 1376817775
-
- Family Nurse Practitioner
- Fort Myers, FL
- NPI 1386214161
-
- Registered Dietitian
- Fort Myers, FL
- NPI 1730948084
-
- Family Nurse Practitioner
- Fort Myers, FL
- NPI 1013518414
-
- Gerontology Nurse Practitioner
- Fort Myers, FL
- NPI 1790420511
-
- Nephrology Physician
- Fort Myers, FL
- NPI 1700070125
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.