SAVANNAH ENDOCRINOLOGY LLC
NPI 1205509858
Internal Medicine - Endocrinology, Diabetes & Metabolism in Savannah, GA
About Savannah Endocrinology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAVANNAH ENDOCRINOLOGY LLC (NPI 1205509858) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Savannah, Georgia and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through July 8, 2027 and lists Ismary Ojeda De Castro, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Savannah Endocrinology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Savannah Endocrinology LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 11D2229263
Savannah Endocrinology, LLC · Savannah, GAFrequently 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 Savannah Endocrinology LLC's NPI number?
The NPI number for Savannah Endocrinology LLC is 1205509858. It was assigned to this organization in the NPPES registry on July 29, 2021.
Where is Savannah Endocrinology LLC located?
Savannah Endocrinology LLC is located at 107 Southern Blvd # 103, Savannah, GA 31405. The listed phone number is (912) 232-5900.
What is Savannah Endocrinology LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Savannah Endocrinology LLC enrolled in Medicare?
Yes. Savannah Endocrinology LLC is registered in the Medicare PECOS enrollment system.
When is Savannah Endocrinology LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Savannah Endocrinology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Savannah Endocrinology 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. The largest specialties are Nurse Practitioner (3) and Endocrinology (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Savannah Endocrinology LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2229263) is associated with this NPI, valid through July 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Savannah Endocrinology LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Savannah Endocrinology 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 Savannah Endocrinology LLC was last updated on September 21, 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.
# Savannah Endocrinology Llc · NPI 1205509858
Endocrinology, Diabetes & Metabolism organization in Savannah, Georgia. Organization record, active in the CMS NPPES registry since July 29, 2021.
## Identity
- **NPI:** 1205509858 (Entity type: Organization)
- **Enumerated:** July 29, 2021
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **Organization subpart:** No
- **Authorized official:** Ismary De Castro, OWNER/PHYSICIAN
## Practice location
- **Address:** 107 SOUTHERN BLVD # 103, Savannah, GA 31405-7437
- **Phone:** (912) 232-5900 · **Fax:** (912) 244-6744
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Endocrinology (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 21, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205509858) · Data from the CMS NPPES public registry.