Organization Active NPI

Gastro-Intestinal Consultants of Central Florida, LLC

  • Gastroenterology Physician
  • Tavares, FL
National Provider Identifier
1982642922
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTRO-INTESTINAL CONSULTANTS OF CENTRAL FLORIDA, LLC
Practice address
2134 Vindale Rd
Tavares, FL 32778-5602
Phone
(352) 383-7703
Fax
(352) 383-8875
NPI assigned
Jun 3, 2006
Last updated
Apr 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Lalbahadur S Nagabhairu, MDNPI 1013956473
Title
Manager
Phone
(352) 383-7703

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

2134 Vindale Rd
Tavares, FL 32778-5602

Mailing address

2134 Vindale Rd
Tavares, FL 32778-5602
Phone (352) 383-7703

Other identifiers 1

IdentifierTypeStateIssuer
273961500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051130000095 FL Part B Supplier - Clinic/Group Practice 0446270995 Receives reassigned benefits from 6 practitioners
Practice locations: Leesburg, FL; Ocala, FL; Tavares, FL; The Villages, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0998053Gastro-Intestinal Consultants of2134 Vindale Rd, Tavares, FL 32778ComplianceFeb 16, 2027

National Provider Directory

National Provider Directory

Locations

805 E Dixie Ave
Leesburg, FL 34748
Phone (352) 383-7703

3200 SW 34th Ave
Ste 202
Ocala, FL 34474
Phone (352) 237-6162

1937 Salk Ave
Tavares, FL 32778
Phone (352) 742-2201

2134 Vindale Rd
Ste 112
Tavares, FL 32778

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1982642922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 VINDALE RD",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785602",
            "telephone_number": "352-383-7703",
            "fax_number": "352-383-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 VINDALE RD",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785602",
            "telephone_number": "352-383-7703",
            "fax_number": "352-383-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO-INTESTINAL CONSULTANTS OF CENTRAL FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "NAGABHAIRU",
        "authorized_official_first_name": "LALBAHADUR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-383-7703",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273961500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

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

Verify at the official NPI Registry.