GASTROENTEROLOGY CONSULTANTS OF SW FL, PA – NPI #1417099029
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

GASTROENTEROLOGY CONSULTANTS OF SW FL, PA is a provider located in FORT MYERS, FL. NPPES has assigned the NPI number 1417099029 to GASTROENTEROLOGY CONSULTANTS OF SW FL, PA on February 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was last updated on Oct 22, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GASTROENTEROLOGY CONSULTANTS OF SW FL, PA below.

NPI Profile for
GASTROENTEROLOGY CONSULTANTS OF SW FL, PA

NPI Number
1417099029
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GASTROENTEROLOGY CONSULTANTS OF SW FL, PA
Primary location
5050 MASON CORBIN CT
FORT MYERS, FL 33907-4541
Phone: (239) 482-2280 Fax: (239) 482-2281
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SURESH CHAVAKULA
OWNER
Phone: (239) 482-2280
Updated
Certification Date
Oct 22, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GASTROENTEROLOGY CONSULTANTS OF SW FL, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL257130700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
207L00000X
- Anesthesiology
FL ME78992
174400000X
- Specialist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.