CITRUS GASTROENTEROLOGY PA
NPI 1407853195
Internal Medicine - Gastroenterology in Inverness, FL

Active since July 07, 2005
3653 E FOREST DR, INVERNESS, FL 34453(352) 344-8080(352) 344-0631 Get Directions Write a Review

NPPES record last updated: June 21, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Citrus Gastroenterology Pa NPPES

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

CITRUS GASTROENTEROLOGY PA (NPI 1407853195) is a healthcare organization registered as a gastroenterology in Inverness, Florida and active in the NPI registry since July 2005. The organization lists Johannes Martensson, President, as its authorized official.

NPPES Registry Identity

NPI1407853195
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameCITRUS GASTROENTEROLOGY PA
Location Address3653 E FOREST DRInverness, FL 34453-0787
Mailing Address3653 E Forest DrInverness, FL 34453-0787 · (352) 344-8080 · Fax (352) 344-0631
Fax(352) 344-0631
Organization SubpartNo
Authorized OfficialJohannes MartenssonPresident · (352) 344-8080
Enumeration DateJuly 7, 2005
Last NPPES UpdateJune 21, 2011
✔ NPI 1407853195 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 · 80110022812
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.
3653 E FOREST DR, Inverness, FL 34453

Other Identifiers 11

OtherCN7015GA · Railroad Medicare Pin
Medicaid263450300FL
Other213279FL · Healthease
Other4002702TN · Bcbs Of Tennessee
Other21861FL · Bcbs Of Florida
Other2400710NY · Ghi
Other160659200FL · Dept Of Labor
Other173547PA · Bs Of Pennsylvania
Other84959FL · Umwa
Medicare PINK0032FL
Other2900981FL · United Health Care

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)

Citrus Gastroenterology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Citrus Gastroenterology PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gastroenterology
NPI 1417954298
3653 E FOREST DR
Inverness, FL 34453
(352) 344-8080
✔ PECOS✔ Accepts MedicareSame address

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 Citrus Gastroenterology PA's NPI number?

The NPI number for Citrus Gastroenterology PA is 1407853195. It was assigned to this organization in the NPPES registry on July 7, 2005.

Where is Citrus Gastroenterology PA located?

Citrus Gastroenterology PA is located at 3653 E Forest Dr, Inverness, FL 34453. The listed phone number is (352) 344-8080.

What is Citrus Gastroenterology PA's specialty?

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

Is Citrus Gastroenterology PA enrolled in Medicare?

Yes. Citrus Gastroenterology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Citrus Gastroenterology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Citrus Gastroenterology PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Citrus Gastroenterology PA was last updated on June 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.