PEDIATRIC GASTROENTEROLOGY ASSOCIATES PLLC – NPI #1295766558
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

PEDIATRIC GASTROENTEROLOGY ASSOCIATES PLLC is a provider located in MIAMI, FL. NPPES has assigned the NPI number 1295766558 to PEDIATRIC GASTROENTEROLOGY ASSOCIATES PLLC on July 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0206X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Gastroenterology

The NPI profile was previously updated about 5 years ago on Dec 08, 2020. 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 PEDIATRIC GASTROENTEROLOGY ASSOCIATES PLLC below.

NPI Profile for
PEDIATRIC GASTROENTEROLOGY ASSOCIATES PLLC

NPI Number
1295766558
Enumeration Date

(about 20 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
PEDIATRIC GASTROENTEROLOGY ASSOCIATES PLLC
Primary location
8955 SW 87TH CT STE 206
MIAMI, FL 33176-2223
Phone: (786) 888-2480 Fax:
1 Other location(s):
3200 SW 60th Ct Ste 204
Miami, FL 33155-4070
Phone: (305) 661-6110
Fax: (305) 662-5882
Mailing address
3200 SW 60TH CT STE 204
MIAMI, FL 33155-4070
Phone: (305) 661-6110 Fax: (305) 662-5882
Organization Subpart
No
Authorized Official
JESSE REEVES-GARCIA
PRESIDENT
Phone: (305) 661-6110
Updated
Certification Date
Dec 08, 2020

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 PEDIATRIC GASTROENTEROLOGY ASSOCIATES PLLC

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
MEDICAIDFL377245400
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
2080P0206X
- Pediatrics / Pediatric Gastroenterology (Primary)

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.