DDSOM
NPI 1174655211
Internal Medicine - Gastroenterology in Bradenton, FL
About Ddsom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DDSOM (NPI 1174655211) is a healthcare organization registered as a gastroenterology in Bradenton, Florida and active in the NPI registry since March 2007. The organization holds a CLIA Certificate of Compliance certificate valid through April 28, 2027 and lists Rimantas Zalepuga, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 5
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)
Ddsom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Ddsom, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Compliance 10D1095975
Digestive Disease Specialists Of Manatee Pl · Bradenton, FLFrequently 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 Digestive Disease Specialist Of Manatee Pl's NPI number?
The NPI number for Digestive Disease Specialist Of Manatee Pl is 1174655211. It was assigned to this organization in the NPPES registry on March 12, 2007. The provider is doing business as Ddsom.
Where is Digestive Disease Specialist Of Manatee Pl located?
Digestive Disease Specialist Of Manatee Pl is located at 4502 Cortez Rd W Ste 204, Bradenton, FL 34210. The listed phone number is (941) 761-1800.
What is Digestive Disease Specialist Of Manatee Pl's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Digestive Disease Specialist Of Manatee Pl enrolled in Medicare?
Yes. Digestive Disease Specialist Of Manatee Pl is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Digestive Disease Specialist Of Manatee Pl?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Digestive Disease Specialist Of Manatee Pl, in Colorectal Surgery (Proctology), Gastroenterology, Nurse Practitioner and Pathology. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Digestive Disease Specialist Of Manatee Pl hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 10D1095975) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Digestive Disease Specialist Of Manatee Pl accept?
Health plans from Ambetter Health, Ambetter of Alabama and Florida Blue (BlueCross BlueShield FL) list Digestive Disease Specialist Of Manatee Pl 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 Digestive Disease Specialist Of Manatee Pl was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ddsom · NPI 1174655211
Gastroenterology organization in Bradenton, Florida. Organization record, active in the CMS NPPES registry since March 12, 2007.
## Identity
- **NPI:** 1174655211 (Entity type: Organization)
- **Enumerated:** March 12, 2007
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Legal business name:** Digestive Disease Specialist Of Manatee Pl
- **Organization subpart:** No
- **Authorized official:** Rimantas Zalepuga, MEMBER
## Practice location
- **Address:** 4502 CORTEZ RD W STE 204, Bradenton, FL 34210-3124
- **Phone:** (941) 761-1800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Gastroenterology (2), Nurse Practitioner (2), Colorectal Surgery (Proctology) (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2021
- **Other identifiers:** Other 74735 (FL); Other DC1249 (FL); Other 9751349 (FL); and 2 more
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1174655211) · Data from the CMS NPPES public registry.