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SOUTH LAKE GASTROENTEROLOGY INC
NPI 1467647685
Specialist in Clermont, FL

Active since September 11, 2007CLIA 10D2022067 · Certificate of Compliance
2040 OAKLEY SEAVER DR, CLERMONT, FL 34711(352) 242-1665(352) 243-1649 Get Directions Write a Review

NPPES record last updated: July 18, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Lake Gastroenterology Inc NPPES

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

SOUTH LAKE GASTROENTEROLOGY INC (NPI 1467647685) is a healthcare organization registered as a specialist in Clermont, Florida and active in the NPI registry since September 2007. The organization holds a CLIA Certificate of Compliance certificate valid through June 30, 2027 and lists Ramesh Rampersad, Administrator, as its authorized official.

NPPES Registry Identity

NPI1467647685
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTH LAKE GASTROENTEROLOGY INC
Location Address2040 OAKLEY SEAVER DRClermont, FL 34711-1962
Mailing AddressPo Box 120930Clermont, FL 34712-0930 · (352) 242-1665 · Fax (352) 243-1649
Phone(352) 242-1665
Fax(352) 243-1649
Organization SubpartNo
Authorized OfficialRamesh RampersadAdministrator · (352) 242-1665
Enumeration DateSeptember 11, 2007
Last NPPES UpdateJuly 18, 2014
✔ NPI 1467647685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME74082
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2040 OAKLEY SEAVER DR, Clermont, FL 34711
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Other Identifiers 6

Other5858631FL · Aetna
Medicaid256031300FL
Medicare UPING65092FL
OtherE0302ZFL · Medicare Individual
Other43437FL · Fl Bcbs
Medicare PINK9666FL

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.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)

South Lake Gastroenterology Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to South Lake Gastroenterology Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Tammy Covington, NP-C
Nurse Practitioner
NPI 1831599893
2040 OAKLEY SEAVER DR
Clermont, FL 34711
(352) 242-1665
✔ PECOS✔ Accepts MedicareSame address
Khalid Maqsood, M.D.
Gastroenterology
NPI 1629047378
821 OAKLEY SEAVER DR
Clermont, FL 34711
(352) 242-1665
✔ PECOS✔ Accepts Medicare0.4 mi
Rajab Abukhadrah, M.D.
Gastroenterology
NPI 1023083896
821 OAKLEY SEAVER DR
Clermont, FL 34711
(352) 242-1665
✔ PECOS✔ Accepts Medicare0.4 mi
Syed Lateef, M.D.
Gastroenterology
NPI 1194769836
821 OAKLEY SEAVER DR
Clermont, FL 34711
(352) 242-1665
✔ PECOS✔ Accepts Medicare0.4 mi
Maria Pagan, APNC
Nurse Practitioner
NPI 1134272628
821 OAKLEY SEAVER DR
Clermont, FL 34711
(352) 242-1665
✔ PECOS✔ Accepts Medicare0.4 mi
Fadi Rahhal, MD
Gastroenterology
NPI 1306062724
821 OAKLEY SEAVER DR
Clermont, FL 34711
(352) 242-1665
✔ PECOS✔ Accepts Medicare0.4 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 10D2022067

South Lake Gastroenterology Inc · Minneola, FL
Active · expires Jun 30, 2027
CLIA Number10D2022067
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorAyaz Ghani
Laboratory Phone(352) 242-1665
Laboratory LocationSouth Lake Gastroenterology Inc201 Mohawk Rd Suite 100, Minneola, FL 34715
CLIA data matches this NPI record on: Name 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 South Lake Gastroenterology Inc's NPI number?

The NPI number for South Lake Gastroenterology Inc is 1467647685. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is South Lake Gastroenterology Inc located?

South Lake Gastroenterology Inc is located at 2040 Oakley Seaver Dr, Clermont, FL 34711. The listed phone number is (352) 242-1665.

What is South Lake Gastroenterology Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is South Lake Gastroenterology Inc enrolled in Medicare?

Yes. South Lake Gastroenterology Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Lake Gastroenterology Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to South Lake Gastroenterology Inc. 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 Gastroenterology (4) and Nurse Practitioner (2). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Lake Gastroenterology Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2022067) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Lake Gastroenterology Inc accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 3 other insurers list South Lake Gastroenterology Inc 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 South Lake Gastroenterology Inc was last updated on July 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.