PREMIERE GI PLLC
NPI 1336829894
Internal Medicine - Gastroenterology in Lakewood Ranch, FL

Q: What is Premiere Gi PLLC's NPI number?

The NPI number for Premiere Gi PLLC is 1336829894. It was assigned to this organization in the NPPES registry on July 20, 2023.

Q: What is Premiere Gi PLLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Premiere Gi PLLC was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 20, 2023

11505 PALMBRUSH TRL STE 200, LAKEWOOD RANCH, FL 34202(941) 334-9040(941) 334-9030 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Premiere Gi Pllc NPPES

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

PREMIERE GI PLLC (NPI 1336829894) is a healthcare organization registered as a gastroenterology in Lakewood Ranch, Florida and active in the NPI registry since July 2023. The organization lists Arun Khazanchi, Member Owner, as its authorized official.

NPPES Registry Identity

NPI1336829894

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NamePREMIERE GI PLLC

Location Address11505 PALMBRUSH TRL STE 200Lakewood Ranch, FL 34202-2904

Mailing Address11505 Palmbrush Trl Ste 200Lakewood Ranch, FL 34202-2904 · (941) 334-9040 · Fax (941) 334-9030

Phone(941) 334-9040

Fax(941) 334-9030

Organization SubpartNo

Authorized OfficialArun KhazanchiMember Owner · (941) 334-9040

Enumeration DateJuly 20, 2023

NPPES CertifiedJuly 20, 2023

✔ NPI 1336829894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

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.

11505 PALMBRUSH TRL STE 200, Lakewood Ranch, FL 34202

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premiere Gi Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Premiere Gi PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Arun Khazanchi, MD

Gastroenterology

NPI 1003961236

11505 PALMBRUSH TRAIL SUITE 200
Lakewood Ranch, FL 34202

(941) 334-9040

✔ PECOS✔ Accepts MedicareSame address

Amanda Lee, ARNP

Nurse Practitioner

NPI 1376864264

12280 US HIGHWAY 301 N
Parrish, FL 34219

(941) 361-1100

✔ PECOS✔ Accepts Medicare10 mi

Joshua Tennenbaum, D.O.

Pathology

NPI 1356543441

3495 HACKS CROSS RD
Memphis, TN 38125

(888) 244-7284

✔ PECOS✔ Accepts Medicare682 mi

Mark Kocab, MD

Gastroenterology

NPI 1942271606

601 JOHN ST STE M-302
Kalamazoo, MI 49007

(269) 349-2266

✔ PECOS✔ Accepts Medicare1,039 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 Premiere Gi PLLC's NPI number?

The NPI number for Premiere Gi PLLC is 1336829894. It was assigned to this organization in the NPPES registry on July 20, 2023.

Where is Premiere Gi PLLC located?

Premiere Gi PLLC is located at 11505 Palmbrush Trl Ste 200, Lakewood Ranch, FL 34202. The listed phone number is (941) 334-9040.

What is Premiere Gi PLLC's specialty?

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

Is Premiere Gi PLLC enrolled in Medicare?

Yes. Premiere Gi PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premiere Gi PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Premiere Gi PLLC, in 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premiere Gi PLLC was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.