Gastroenterology Consultants of Sw Fl, PA
NPI 1417099029ActiveOrganization· Internal Medicine, Gastroenterology· Fort Myers, FL
Internal Medicine, Gastroenterology in Fort Myers, Florida, registered in NPPES in February 2007. The authorized official on file is Suresh Chavakula, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417099029 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 12, 2007 |
| Last updated in NPPES | Oct 22, 2025 |
| Certified by provider | Oct 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
| Specialist | 174400000X | — | — |
| Anesthesiology | 207L00000X | ME78992 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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