DDSOM
NPI 1174655211
Internal Medicine - Gastroenterology in Bradenton, FL

Active since March 12, 2007CLIA 10D1095975 · Certificate of Compliance
4502 CORTEZ RD W STE 204, BRADENTON, FL 34210(941) 761-1800 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1174655211
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameDIGESTIVE DISEASE SPECIALIST OF MANATEE PL
Location Address4502 CORTEZ RD W STE 204Bradenton, FL 34210-3124
Mailing AddressPo Box 15089Bradenton, FL 34280-5089 · (941) 761-1800 · Fax (941) 761-1883
Organization SubpartNo
Authorized OfficialRimantas ZalepugaMember · (941) 761-1800
Enumeration DateMarch 12, 2007
Last NPPES UpdateAugust 11, 2021
NPPES CertifiedAugust 11, 2021
NPI 1174655211 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 · ME85682
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.

4502 CORTEZ RD W STE 204, Bradenton, FL 34210

Other Names 1

Doing Business AsDdsom

Other Identifiers 5

Other74735FL · Bcbs
OtherDC1249FL · Rail Road Medicare
Other9751349FL · Ghi
Medicaid271367500FL
Other6102336FL · Cigna

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

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, FL
Active · expires Apr 28, 2027
CLIA Number10D1095975
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorDr. Rimantas Zalepuga
Laboratory Phone(941) 761-1800
Laboratory LocationDigestive Disease Specialists Of Manatee Pl4502 Cortez Rd West Suite 204, Bradenton, FL 34210
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

Internal Medicine (Gastroenterology)
4502 CORTEZ RD W STE 204
BRADENTON, FL 34210

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 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.

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 from Superior HealthPlan, 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 with the weekly NPPES data releases published by CMS.