Mid-Florida Gastroenterology Group P A
NPI 1841474103ActiveOrganization· Specialist· Sanford, FL
Specialist in Sanford, Florida, registered in NPPES in December 2007. The authorized official on file is Lenkala Reddy Mallaiah, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1841474103 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2007 |
| Last updated in NPPES | Sep 20, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | ME0037029 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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