DR. GNANESWARA V MIDATHALA M.D.
NPI 1750393237
Psychiatry & Neurology - Psychiatry in Ocala, FL

Q: What is Gnaneswara Midathala's NPI number?

The NPI number for Gnaneswara Midathala is 1750393237. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Q: What is Gnaneswara Midathala's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment

3130 SW 27TH AVE, OCALA, FL 34471(352) 547-2097 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 2, 2021, Feb 22, 2021, Jul 31, 2020 (3 updates tracked since 2020).

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About Dr. Gnaneswara V Midathala M.d. NPPES

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

DR. GNANESWARA V MIDATHALA M.D. (NPI 1750393237) is an individual psychiatry provider in Ocala, Florida, licensed in Florida (ME109325) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1750393237

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. GNANESWARA V MIDATHALACredential: M.D.

Location Address3130 SW 27TH AVEOcala, FL 34471-4306

Mailing AddressPo Box 100183Gainesville, FL 32610-0183 · (352) 392-0140

Phone(352) 547-2097

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateAugust 12, 2006

Last NPPES UpdateNovember 2, 20213 updates tracked since enumeration

NPPES CertifiedNovember 2, 2021

✔ NPI 1750393237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in FL · ME109325✔ Licensed in IL · 036092506✔ Licensed in SC · 86855

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

3130 SW 27TH AVE, Ocala, FL 34471

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Secondary Practice Locations 3

Location 18225 State Road 54New Port Richey, FL 34655-3016 · Phone (309) 310-4399

Location 21600 SW Archer RdGainesville, FL 32610-4306 · Phone (352) 392-0140

Location 310 Patewood Dr Ste 130Greenville, SC 29615-6317 · Phone (864) 455-8988 · Fax (864) 522-5555

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gnaneswara V Midathala M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052392826

PECOS Enrollment IDI20211110000988

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Gnaneswara Midathala reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baycare Behavioral Health Associates LLC

69 mi

Psychiatry

21808 STATE ROAD 54
Lutz, FL 33549

Reassigned Medicare billing, Florida enrollment
240 clinicians in this Medicare group

NPI 1245502152 (727) 315-6974

Winter Haven Hospital Inc

80 mi

General Acute Care Hospital

200 AVE F NE
Winter Haven, FL 33881

Reassigned Medicare billing, Florida enrollment
179 clinicians in this Medicare group

NPI 1477599975 (863) 293-1121

Hni Medical Services Of Florida, LLC

86 mi

Internal Medicine

1 SHIRCLIFF WAY
Jacksonville, FL 32204

Reassigned Medicare billing, Florida enrollment
492 clinicians in this Medicare group

NPI 1679048284 (512) 730-3060

Spartanburg Medical Center

383 mi

Obstetrics & Gynecology

319 W SOUTH ST
Union, SC 29379

Reassigned Medicare billing, South Carolina enrollment
308 clinicians in this Medicare group

NPI 1164807376 (864) 560-6563

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

141 services74 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

121 services114 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34471 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROYAL PSYCHOLOGICAL SERVICES PA

Psychologist (Clinical)