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GULF COAST INTERNIST, LLC.
NPI 1114155355
Internal Medicine in Saint Petersburg, FL

Active since June 25, 2009CLIA 10D2000247 · Waiver
4957 38TH AVE N, SUITE C, SAINT PETERSBURG, FL 33710(727) 525-0900(727) 525-9500 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gulf Coast Internist, Llc. NPPES

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

GULF COAST INTERNIST, LLC. (NPI 1114155355) is a healthcare organization registered as an internal medicine in Saint Petersburg, Florida and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through November 23, 2027 and lists Kavita B Rao, Mgrm, as its authorized official.

NPPES Registry Identity

NPI1114155355
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGULF COAST INTERNIST, LLC.
Location Address4957 38TH AVE N, SUITE CSaint Petersburg, FL 33710-2174
Mailing Address4957 38th Ave N, Suite CSaint Petersburg, FL 33710-2174 · (727) 525-0900 · Fax (727) 525-9500
Phone(727) 525-0900
Fax(727) 525-9500
Organization SubpartNo
Authorized OfficialKavita B RaoMgrm · (727) 748-5699
Enumeration DateJune 25, 2009
Last NPPES UpdateSeptember 19, 2012
✔ NPI 1114155355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4957 38TH AVE N, Saint Petersburg, FL 33710
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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)

Gulf Coast Internist, Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gulf Coast Internist, LLC., which bills Medicare for the services this clinician delivers.

Clinician (1)

Kavita Rao, M.D.
Internal Medicine
NPI 1083684153
4957 38TH AVENUE NORTH SUITE C
Saint Petersburg, FL 33710
(727) 525-0900
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2000247

Gulf Coast Internist LLC · Saint Petersburg, FL
Active · expires Nov 23, 2027
CLIA Number10D2000247
Laboratory TypePhysician Office
Certificate Effective DateNovember 24, 2025
Certificate Expiration DateNovember 23, 2027
Laboratory DirectorKavita B. Rao
Laboratory Phone(727) 525-0900
Laboratory LocationGulf Coast Internist LLC4957 38th Ave N Ste C, Saint Petersburg, FL 33710
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Gulf Coast Internist, LLC.'s NPI number?

The NPI number for Gulf Coast Internist, LLC. is 1114155355. It was assigned to this organization in the NPPES registry on June 25, 2009.

Where is Gulf Coast Internist, LLC. located?

Gulf Coast Internist, LLC. is located at 4957 38th Ave N Suite C, Saint Petersburg, FL 33710. The listed phone number is (727) 525-0900.

What is Gulf Coast Internist, LLC.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gulf Coast Internist, LLC. enrolled in Medicare?

Yes. Gulf Coast Internist, LLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gulf Coast Internist, LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Gulf Coast Internist, LLC.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gulf Coast Internist, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2000247) is associated with this NPI, valid through November 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gulf Coast Internist, LLC. accept?

Health plans from AvMed list Gulf Coast Internist, LLC. 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 Gulf Coast Internist, LLC. was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.