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BORLAND GROOVER CLINIC, PA
NPI 1881644912
Internal Medicine - Gastroenterology in Jacksonville, FL

Active since May 11, 2006CLIA Certified · 10 labs
4800 BELFORT RD, JACKSONVILLE, FL 32256(904) 398-7205(904) 265-6409 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Borland Groover Clinic, Pa NPPES

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

BORLAND GROOVER CLINIC, PA (NPI 1881644912) is a healthcare organization registered as a gastroenterology in Jacksonville, Florida and active in the NPI registry since May 2006. The organization holds 10 active CLIA laboratory certificates and lists Dinesh Madhok, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881644912
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameBORLAND GROOVER CLINIC, PA
Location Address4800 BELFORT RDJacksonville, FL 32256-6004
Mailing Address4800 Belfort RdJacksonville, FL 32256-6004 · (904) 398-3385 · Fax (904) 265-6409
Phone(904) 398-7205
Fax(904) 265-6409
Organization SubpartNo
Authorized OfficialDinesh MadhokCeo · (904) 398-7205
Enumeration DateMay 11, 2006
Last NPPES UpdateApril 6, 2026
NPPES CertifiedApril 6, 2026
✔ NPI 1881644912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
4800 BELFORT RD, Jacksonville, FL 32256
Open in Google Maps ↗

Other Identifiers 1

Medicaid119757100FL

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

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)

Borland Groover Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

121

Medicare enrollment records show 121 clinicians reassign Medicare billing to Borland Groover Clinic, PA, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 44 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Gastroenterology92
Nurse Practitioner22
Pathology4
Allergy/Immunology1
Diagnostic Radiology1
Registered Dietitian or Nutrition Professional1

Nearest to this location (20)

See all 121
Kinesh Changela, M.D.
Gastroenterology
NPI 1760728406
4800 BELFORT RD
Jacksonville, FL 32256
(516) 582-8772
✔ PECOS✔ Accepts MedicareSame address
Anhtung Chau, MD
Gastroenterology
NPI 1417142969
4800 BELFORT RD
Jacksonville, FL 32256
(904) 398-7205
✔ PECOS✔ Accepts MedicareSame address
Linda Diteodoro, MD
Gastroenterology
NPI 1902965684
4800 BELFORT ROAD 2ND FLOOR
Jacksonville, FL 32256
(904) 398-7205
✔ PECOS✔ Accepts MedicareSame address
Kyle Etzkorn, MD
Gastroenterology
NPI 1598761439
4800 BELFORT RD
Jacksonville, FL 32256
(904) 398-7205
✔ PECOS✔ Accepts MedicareSame address
Vikram Gopal, MD
Gastroenterology
NPI 1720041247
4800 BELFORT ROAD 2ND FLOOR
Jacksonville, FL 32256
(904) 398-7205
✔ PECOS✔ Accepts MedicareSame address
Lindsay Jackson, APRN
Nurse Practitioner
NPI 1578252516
4800 BELFORT RD
Jacksonville, FL 32256
(904) 398-7205
✔ PECOS✔ Accepts MedicareSame address
Krunal Patel, MD
Gastroenterology
NPI 1003251356
4800 BELFORT RD
Jacksonville, FL 32256
(904) 398-7205
✔ PECOS✔ Accepts MedicareSame address
Jason Ross, MD
Gastroenterology
NPI 1164798369
4800 BELFORT RD
Jacksonville, FL 32256
(904) 398-7205
✔ PECOS✔ Accepts MedicareSame address
Kristina Rijo, RN
Nurse Practitioner
NPI 1093339467
4800 BELFORT RD
Jacksonville, FL 32256
(904) 398-7205
✔ PECOSSame address
Ana Corregidor, MD
Gastroenterology
NPI 1306842810
4800 BELFORT RD
Jacksonville, FL 32256
(904) 398-7205
✔ PECOS✔ Accepts MedicareSame address
Catherine Manolakis, M.D.
Gastroenterology
NPI 1831329481
4800 BELFORT RD
Jacksonville, FL 32256
(904) 398-7205
✔ PECOS✔ Accepts MedicareSame address
Juan Munoz, MD
Gastroenterology
NPI 1417924788
4800 BELFORT RD
Jacksonville, FL 32256
(904) 398-7205
✔ PECOS✔ Accepts MedicareSame address
Emily Rostholder, M.D.
Gastroenterology
NPI 1902063431
4800 BELFORT RD
Jacksonville, FL 32256
(904) 398-7205
✔ PECOS✔ Accepts MedicareSame address
Nydia Sanchez, MD
Gastroenterology
NPI 1598757007
4800 BELFORT RD 2ND FLOOR
Jacksonville, FL 32256
(904) 398-7205
✔ PECOS✔ Accepts MedicareSame address
George Hage-Nassar, MD
Gastroenterology
NPI 1609982263
3627 UNIVERSITY BLVD S STE 705
Jacksonville, FL 32216
(904) 398-6718
✔ PECOS✔ Accepts Medicare2.7 mi
Nassim El Hajj, MD
Gastroenterology
NPI 1073719688
3627 UNIVERSITY BLVD. SOUTH SUITE 705
Jacksonville, FL 32216
(904) 398-6718
✔ PECOS✔ Accepts Medicare2.7 mi
Bharat Misra, MD
Gastroenterology
NPI 1194717116
3627 UNIVERSITY BLVD S SUITE 705
Jacksonville, FL 32216
(904) 398-6718
✔ PECOS✔ Accepts Medicare2.7 mi
Shanique Wilson, M.D.
Gastroenterology
NPI 1578094264
3627 UNIVERSITY BLVD S STE 705
Jacksonville, FL 32216
(904) 398-6718
✔ PECOS✔ Accepts Medicare2.7 mi
Mark Carter, M.D.
Diagnostic Radiology
NPI 1932128337
4521 SHILOH MILL BLVD
Jacksonville, FL 32246
(904) 699-4337
✔ PECOS✔ Accepts Medicare3.0 mi
Steven Casto, ARNP-BC
Nurse Practitioner
NPI 1558771154
9191 R G SKINNER PKWY SUITE 103
Jacksonville, FL 32256
(904) 580-4730
✔ PECOS✔ Accepts Medicare5.1 mi
See all 121 clinicians

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 10

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 Waiver 10D1069056

Borland Groover Clinic · Jacksonville, FL
Active · expires May 27, 2027
CLIA Number10D1069056
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2025
Certificate Expiration DateMay 27, 2027
Laboratory DirectorKevin Comar
Laboratory Phone(904) 398-7205
Laboratory LocationBorland Groover Clinic4800 Belfort Rd, Jacksonville, FL 32256
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2347719

Borland Groover Clinic, PA · Fort Walton Beach, FL
Active · expires Jul 22, 2028
CLIA Number10D2347719
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorKevin Comar
Laboratory Phone(904) 398-7205
Laboratory LocationBorland Groover Clinic, PA1013 Mar Walt Drive, Suite B, Fort Walton Beach, FL 32547
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2346011

Borland Groover Clinic, PA · Saint Augustine, FL
Active · expires Jun 22, 2028
CLIA Number10D2346011
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorKevin Comar
Laboratory Phone(904) 398-7205
Laboratory LocationBorland Groover Clinic, PA475 W Town Place, Suite 109, Saint Augustine, FL 32092
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2341442

Borland Groover Clinic, PA · Jacksonville, FL
Active · expires Apr 1, 2028
CLIA Number10D2341442
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorKevin Comar
Laboratory Phone(904) 398-7205
Laboratory LocationBorland Groover Clinic, PA2377 Dunn Ave 2nd Fl, Jacksonville, FL 32218
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2335009

Borland Groover Clinic PA · Macclenny, FL
Active · expires Dec 3, 2027
CLIA Number10D2335009
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorKevin Comar
Laboratory Phone(904) 398-7205
Laboratory LocationBorland Groover Clinic PA480 W Lowder St Suite 137, Macclenny, FL 32063
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2329193

Borland Groover Clinic, PA · Jacksonville, FL
Active · expires Aug 24, 2027
CLIA Number10D2329193
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorKevin Comar
Laboratory Phone(904) 398-3385
Laboratory LocationBorland Groover Clinic, PA1824 King Street Suite 300, Jacksonville, FL 32204
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Borland Groover Clinic, PA's NPI number?

The NPI number for Borland Groover Clinic, PA is 1881644912. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Borland Groover Clinic, PA located?

Borland Groover Clinic, PA is located at 4800 Belfort Rd, Jacksonville, FL 32256. The listed phone number is (904) 398-7205.

What is Borland Groover Clinic, PA's specialty?

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

Is Borland Groover Clinic, PA enrolled in Medicare?

Yes. Borland Groover Clinic, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Borland Groover Clinic, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 121 clinicians in 6 Medicare specialties reassign their Medicare billing to Borland Groover Clinic, 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 Gastroenterology (92), Nurse Practitioner (22) and Pathology (4). Of these, 14 practice at this address and 44 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Borland Groover Clinic, PA hold CLIA laboratory certificates?

Yes. 10 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Borland Groover Clinic, PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Borland Groover Clinic, 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 Borland Groover Clinic, PA was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.