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GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC
NPI 1477888444
Internal Medicine - Gastroenterology in Port St Lucie, FL

Active since October 08, 2009
501 NW LAKE WHITNEY PL STE 102, PORT ST LUCIE, FL 34986(772) 359-0091 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gastroenterology Specialist Of The Treasure Coast, Inc NPPES

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

GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC (NPI 1477888444) is a healthcare organization registered as a gastroenterology in Port St Lucie, Florida and active in the NPI registry since October 2009. The organization lists Jayshree Matadial, President, as its authorized official.

NPPES Registry Identity

NPI1477888444
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC
Location Address501 NW LAKE WHITNEY PL STE 102Port St Lucie, FL 34986-1615
Mailing AddressPo Box 8090Port St Lucie, FL 34985-8090 · (772) 359-0091
Phone(772) 359-0091
Organization SubpartNo
Authorized OfficialJayshree MatadialPresident · (772) 359-0091
Enumeration DateOctober 8, 2009
Last NPPES UpdateMay 26, 2020
NPPES CertifiedMay 26, 2020
✔ NPI 1477888444 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 · ME77972
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.
501 NW LAKE WHITNEY PL STE 102, Port St Lucie, FL 34986
Open in Google Maps ↗

Other Identifiers 1

OtherME77972FL · Medical Licence

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)

Gastroenterology Specialist Of The Treasure Coast, Inc 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 Gastroenterology Specialist Of The Treasure Coast, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jayshree Matadial, MD
Gastroenterology
NPI 1568416030
501 NW LAKE WHITNEY PL STE 102
Port St Lucie, FL 34986
(772) 337-3914
✔ 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 Gastroenterology Specialist Of The Treasure Coast, Inc's NPI number?

The NPI number for Gastroenterology Specialist Of The Treasure Coast, Inc is 1477888444. It was assigned to this organization in the NPPES registry on October 8, 2009.

Where is Gastroenterology Specialist Of The Treasure Coast, Inc located?

Gastroenterology Specialist Of The Treasure Coast, Inc is located at 501 NW Lake Whitney Pl Ste 102, Port St Lucie, FL 34986. The listed phone number is (772) 359-0091.

What is Gastroenterology Specialist Of The Treasure Coast, Inc's specialty?

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

Is Gastroenterology Specialist Of The Treasure Coast, Inc enrolled in Medicare?

Yes. Gastroenterology Specialist Of The Treasure Coast, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gastroenterology Specialist Of The Treasure Coast, Inc?

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

When was this NPI record last updated?

The NPPES record for Gastroenterology Specialist Of The Treasure Coast, Inc was last updated on May 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.