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MID-FLORIDA GASTROENTEROLOGY GROUP P A
NPI 1841474103
Specialist in Sanford, FL

Active since December 21, 2007
311 N MANGOUSTINE AVE, SANFORD, FL 32771(407) 321-4570(407) 321-7690 Get Directions Write a Review

NPPES record last updated: September 20, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mid-florida Gastroenterology Group P A NPPES

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

MID-FLORIDA GASTROENTEROLOGY GROUP P A (NPI 1841474103) is a healthcare organization registered as a specialist in Sanford, Florida and active in the NPI registry since December 2007. The organization lists Lenkala Reddy Mallaiah, President, as its authorized official.

NPPES Registry Identity

NPI1841474103
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMID-FLORIDA GASTROENTEROLOGY GROUP P A
Location Address311 N MANGOUSTINE AVESanford, FL 32771-1098
Mailing Address311 N Mangoustine AveSanford, FL 32771-1098 · (407) 321-4570 · Fax (407) 321-7690
Phone(407) 321-4570
Fax(407) 321-7690
Organization SubpartNo
Authorized OfficialLenkala Reddy MallaiahPresident · (407) 321-4570
Enumeration DateDecember 21, 2007
Last NPPES UpdateSeptember 20, 2010
✔ NPI 1841474103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0037029
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.
311 N MANGOUSTINE AVE, Sanford, FL 32771
Open in Google Maps ↗

Other Identifiers 5

Other77496Medicare
Other110047015FL · Railroad Medicare
OtherCB7606FL · Railroad Medicare
Medicare PIN77496FL
Medicaid065414100FL

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)

Mid-florida Gastroenterology Group P A 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 Mid-Florida Gastroenterology Group P A, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lenkala Mallaiah, MD
Gastroenterology
NPI 1891794954
311 N MANGOUSTINE AVE
Sanford, FL 32771
(407) 321-4570
✔ 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 Mid-Florida Gastroenterology Group P A's NPI number?

The NPI number for Mid-Florida Gastroenterology Group P A is 1841474103. It was assigned to this organization in the NPPES registry on December 21, 2007.

Where is Mid-Florida Gastroenterology Group P A located?

Mid-Florida Gastroenterology Group P A is located at 311 N Mangoustine Ave, Sanford, FL 32771. The listed phone number is (407) 321-4570.

What is Mid-Florida Gastroenterology Group P A's specialty?

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

Is Mid-Florida Gastroenterology Group P A enrolled in Medicare?

Yes. Mid-Florida Gastroenterology Group P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid-Florida Gastroenterology Group P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Mid-Florida Gastroenterology Group P A. 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 Mid-Florida Gastroenterology Group P A was last updated on September 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.