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DR. DWARKA G NATH M D
NPI 1003966870
Internal Medicine - Gastroenterology in Davenport, FL

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
40124 HIGHWAY 27 STE 204, DAVENPORT, FL 33837(863) 419-2156 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2022, Dec 3, 2020 (2 updates tracked since 2020).

About Dr. Dwarka G Nath M D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DWARKA G NATH M D (NPI 1003966870) is an individual gastroenterology provider in Davenport, Florida, licensed in Florida (51613) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Lake Wales, and maintains a secondary practice location in Titusville.

NPPES Registry Identity

NPI1003966870
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. DWARKA G NATHCredential: M D
Location Address40124 HIGHWAY 27 STE 204Davenport, FL 33837-5905
Mailing Address40124 Highway 27 Ste 204Davenport, FL 33837-5905 · (863) 419-2156
Phone(863) 419-2156
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1003966870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · 51613
Definition

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.

40124 HIGHWAY 27 STE 204, Davenport, FL 33837
Open in Google Maps ↗

Secondary Practice Location 1

Location 1825 Century Medical DrTitusville, FL 32796-2113 · Phone (321) 268-6224 · Fax (321) 268-6229

Other Identifiers 1

Medicaid052599500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dwarka G Nath M D is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375703291
PECOS Enrollment IDI20120329000472
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
423 services166 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
195 services178 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
133 services63 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
85 services82 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
19 services19 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Lake Wales

Acute Care Hospitals · Lake Wales, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100099
Location410 S 11th StLake Wales, FL 33853 · Polk County
Emergency services

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100137
Location40100 Hwy 27Davenport, FL 33837 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33837 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRISTIN CAMPBELL NP-C
Nurse Practitioner (Family)
40124 HIGHWAY 27 STE 204
DAVENPORT, FL 33837
Polk County (863) 701-6490
DR. JOSEPH A SALHAB DO
Internal Medicine (Gastroenterology)
40124 HIGHWAY 27 STE 204
DAVENPORT, FL 33837
Polk County (863) 419-2156

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dwarka Nath's NPI number?

The NPI number for Dwarka Nath is 1003966870. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Dwarka Nath located?

Dwarka Nath practices at 40124 Highway 27 Ste 204, Davenport, FL 33837. The listed phone number is (863) 419-2156.

What is Dwarka Nath's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Dwarka Nath enrolled in Medicare?

Yes. Dwarka Nath is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dwarka Nath accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and Wellpoint list Dwarka Nath as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dwarka Nath affiliated with any hospitals?

According to CMS data, Dwarka Nath is affiliated with Adventhealth Lake Wales and Adventhealth Heart Of Florida.

When was this NPI record last updated?

The NPPES record for Dwarka Nath was last updated on August 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.