GASTROENTEROLOGY CONSULTANTS OF SW FL, PA
NPI 1417099029
Internal Medicine - Gastroenterology in Fort Myers, FL

Active since February 12, 2007CLIA 10D2083199 · Certificate of Compliance
5050 MASON CORBIN CT, FORT MYERS, FL 33907(239) 482-2280(239) 482-2281 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gastroenterology Consultants Of Sw Fl, Pa NPPES

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

GASTROENTEROLOGY CONSULTANTS OF SW FL, PA (NPI 1417099029) is a healthcare organization registered as a gastroenterology in Fort Myers, Florida and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through June 10, 2028 and lists Suresh Chavakula, Owner, as its authorized official.

NPPES Registry Identity

NPI1417099029
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGASTROENTEROLOGY CONSULTANTS OF SW FL, PA
Location Address5050 MASON CORBIN CTFort Myers, FL 33907-4541
Mailing Address5050 Mason Corbin CtFort Myers, FL 33907-4541 · (239) 482-2280 · Fax (239) 482-2281
Fax(239) 482-2281
Organization SubpartNo
Authorized OfficialSuresh ChavakulaOwner · (239) 482-2280
Enumeration DateFebruary 12, 2007
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1417099029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedSpecialistTaxonomy 174400000X
Also ListedAnesthesiologyTaxonomy 207L00000X · License ME78992 (FL)
5050 MASON CORBIN CT, Fort Myers, FL 33907

Other Identifiers 1

Medicaid257130700FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Gastroenterology Consultants Of SW Fl, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Gastroenterology
NPI 1598719551
5050 MASON CORBIN CT
Fort Myers, FL 33907
(239) 482-2280
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1407835234
1620 MEDICAL LN SUITE 100
Ft Myers, FL 33907
(239) 275-1164
✔ PECOS0.7 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043506983
4048 EVANS AVE STE 303
Fort Myers, FL 33901
(239) 332-5344
✔ PECOS✔ Accepts Medicare1.8 mi
Pathology
NPI 1811955818
13691 METRO PKWY STE 120
Fort Myers, FL 33912
(239) 215-4066
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1366013773
3717 CHIQUITA BLVD S
Cape Coral, FL 33914
(239) 209-6906
✔ PECOS✔ Accepts Medicare7.7 mi
Gastroenterology
NPI 1992753016
159 N 3RD ST
Macclenny, FL 32063
(904) 259-3151
✔ PECOS255 mi
Nurse Practitioner
NPI 1871954339
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-2255
✔ PECOS✔ Accepts Medicare662 mi
Nurse Practitioner
NPI 1316268139
80 PHOENIX AVE SUITE 201
Waterbury, CT 06702
(203) 756-8021
✔ PECOS1,148 mi

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 Compliance 10D2083199

Gastroenterology Consultants Of Southwest Florida · Fort Myers, FL
Active · expires Jun 10, 2028
CLIA Number10D2083199
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorDr. George C. Kalemeris
Laboratory Phone(239) 482-2280
Laboratory LocationGastroenterology Consultants Of Southwest Florida5050 Mason Corbin Ct, Fort Myers, FL 33907
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.

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 SW Fl, PA's NPI number?

The NPI number for Gastroenterology Consultants Of SW Fl, PA is 1417099029. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Gastroenterology Consultants Of SW Fl, PA located?

Gastroenterology Consultants Of SW Fl, PA is located at 5050 Mason Corbin Ct, Fort Myers, FL 33907. The listed phone number is (239) 482-2280.

What is Gastroenterology Consultants Of SW Fl, PA's specialty?

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

Is Gastroenterology Consultants Of SW Fl, PA enrolled in Medicare?

Yes. Gastroenterology Consultants Of SW Fl, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gastroenterology Consultants Of SW Fl, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Gastroenterology Consultants Of SW Fl, 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. The largest specialties are Nurse Practitioner (3), Gastroenterology (2) and Pathology (2). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gastroenterology Consultants Of SW Fl, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2083199) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gastroenterology Consultants Of SW Fl, PA accept?

Health plans from Wellpoint list Gastroenterology Consultants Of SW Fl, PA 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 Gastroenterology Consultants Of SW Fl, PA was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.