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GASTROENTEROLOGY CONSULTANTS OF POLK COUNTY PA
NPI 1205021052
Internal Medicine - Gastroenterology in Davenport, FL

Active since September 13, 2007
40124 HWY 27, SUITE 102, DAVENPORT, FL 33837(863) 419-1166(863) 419-1188 Get Directions Write a Review

NPPES record last updated: April 15, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gastroenterology Consultants Of Polk County Pa NPPES

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

GASTROENTEROLOGY CONSULTANTS OF POLK COUNTY PA (NPI 1205021052) is a healthcare organization registered as a gastroenterology in Davenport, Florida and active in the NPI registry since September 2007. The organization lists Jatinder Dhaliwal, Manager, as its authorized official.

NPPES Registry Identity

NPI1205021052
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGASTROENTEROLOGY CONSULTANTS OF POLK COUNTY PA
Location Address40124 HWY 27, SUITE 102Davenport, FL 33837-5905
Mailing Address40124 Hwy 27, Suite 102Davenport, FL 33837-5905 · (863) 419-1166 · Fax (863) 419-1188
Phone(863) 419-1166
Fax(863) 419-1188
Organization SubpartNo
Authorized OfficialJatinder DhaliwalManager · (863) 419-1166
Enumeration DateSeptember 13, 2007
Last NPPES UpdateApril 15, 2009
✔ NPI 1205021052 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 · ME0069617
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 HWY 27, Davenport, FL 33837
Open in Google Maps ↗

Other Identifiers 2

Medicare PINK0711FL
Medicaid379143200FL

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gastroenterology Consultants Of Polk County Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Gastroenterology Consultants Of Polk County PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Devendra Kahlon, M.D.
Gastroenterology
NPI 1285668897
40124N US 27 SUITE 102
Davenport, FL 33837
(863) 419-1166
✔ PECOS✔ Accepts MedicareSame address
Leonel Edwards, M.D.
Pathology
NPI 1265453963
1456 WILLIAM ST
Leesburg, FL 34748
(352) 365-4562
✔ PECOS✔ Accepts Medicare47 mi

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 Gastroenterology Consultants Of Polk County PA's NPI number?

The NPI number for Gastroenterology Consultants Of Polk County PA is 1205021052. It was assigned to this organization in the NPPES registry on September 13, 2007.

Where is Gastroenterology Consultants Of Polk County PA located?

Gastroenterology Consultants Of Polk County PA is located at 40124 Hwy 27 Suite 102, Davenport, FL 33837. The listed phone number is (863) 419-1166.

What is Gastroenterology Consultants Of Polk County PA's specialty?

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

Is Gastroenterology Consultants Of Polk County PA enrolled in Medicare?

Yes. Gastroenterology Consultants Of Polk County PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gastroenterology Consultants Of Polk County PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Gastroenterology Consultants Of Polk County PA, in Gastroenterology 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gastroenterology Consultants Of Polk County PA was last updated on April 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.