ENT SURGICAL GROUP, PLLC
NPI 1023734878
Otolaryngology in Madison, MS
About Ent Surgical Group, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENT SURGICAL GROUP, PLLC (NPI 1023734878) is a healthcare organization registered as an otolaryngology in Madison, Mississippi and active in the NPI registry since October 2022. The organization lists Kyle Gordon, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ent Surgical Group, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Ent Surgical Group, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ent Surgical Group, PLLC's NPI number?
The NPI number for Ent Surgical Group, PLLC is 1023734878. It was assigned to this organization in the NPPES registry on October 13, 2022.
Where is Ent Surgical Group, PLLC located?
Ent Surgical Group, PLLC is located at 138 Park Place Blvd, Madison, MS 39110. The listed phone number is (601) 898-7500.
What is Ent Surgical Group, PLLC's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Ent Surgical Group, PLLC enrolled in Medicare?
Yes. Ent Surgical Group, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ent Surgical Group, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Ent Surgical Group, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Otolaryngology (3) and Qualified Audiologist (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ent Surgical Group, PLLC accept?
Health plans from Cigna Healthcare and Molina Healthcare list Ent Surgical Group, PLLC 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.
When was this NPI record last updated?
The NPPES record for Ent Surgical Group, PLLC was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ent Surgical Group, Pllc · NPI 1023734878
Otolaryngology organization in Madison, Mississippi. Organization record, active in the CMS NPPES registry since October 13, 2022.
## Identity
- **NPI:** 1023734878 (Entity type: Organization)
- **Enumerated:** October 13, 2022
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **Organization subpart:** No
- **Authorized official:** Kyle Gordon, OWNER
## Practice location
- **Address:** 138 PARK PLACE BLVD, Madison, MS 39110
- **Phone:** (601) 898-7500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Otolaryngology (3), Qualified Audiologist (2); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1023734878) · Data from the CMS NPPES public registry.