GASTROENTEROLOGY GROUP OF NAPLES PA
NPI 1912954694
Internal Medicine - Gastroenterology in Naples, FL

Active since May 28, 2006CLIA 10D0681372 · Waiver
1064 GOODLETTE RD N, NAPLES, FL 34102(239) 649-1186(239) 649-1156 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gastroenterology Group Of Naples Pa NPPES

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

GASTROENTEROLOGY GROUP OF NAPLES PA (NPI 1912954694) is a healthcare organization registered as a gastroenterology in Naples, Florida and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Susan M Liberski, President, as its authorized official.

NPPES Registry Identity

NPI1912954694
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGASTROENTEROLOGY GROUP OF NAPLES PA
Location Address1064 GOODLETTE RD NNaples, FL 34102-5449
Mailing Address1064 Goodlette Rd NNaples, FL 34102-5449 · (239) 649-1186 · Fax (239) 649-1156
Fax(239) 649-1156
Organization SubpartNo
Authorized OfficialSusan M LiberskiPresident · (239) 649-1186
Enumeration DateMay 28, 2006
Last NPPES UpdateJuly 16, 2014
✔ NPI 1912954694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1064 GOODLETTE RD N, Naples, FL 34102

Other Identifiers 1

Medicare ID-Type Unspecified99840FL

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gastroenterology Group Of Naples Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20041027001179Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Gastroenterology Group Of Naples PA, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1114623311
1008 GOODLETTE-FRANK RD N
Naples, FL 34102
(239) 403-9391
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1902119845
1064 GOODLETTE-FRANK RD N
Naples, FL 34102
(239) 649-1186
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1154573830
1064 GOODLETTE ROAD
Naples, FL 34102
(239) 649-1186
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1003905605
10034 CYPRESS SHADOW AVE
Tampa, FL 33647
(813) 994-2486
✔ PECOS✔ Accepts Medicare141 mi
Pathology
NPI 1295978500
2641 ROCKY RIDGE LN
Vestavia Hills, AL 35216
(615) 221-4400
✔ PECOS✔ Accepts Medicare581 mi
Gastroenterology
NPI 1841288321
7675 WELLNESS WAY
West Chester, OH 45069
(513) 475-7505
✔ PECOS✔ Accepts Medicare922 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 Waiver 10D0681372

Gastroenterology Group Of Naples · Naples, FL
Active · expires Aug 31, 2028
CLIA Number10D0681372
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorSandra Jara
Laboratory Phone(239) 649-1186
Laboratory LocationGastroenterology Group Of Naples1064 Goodlette Road, Naples, FL 33940
CLIA data matches this NPI record on: Address 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 Gastroenterology Group Of Naples PA's NPI number?

The NPI number for Gastroenterology Group Of Naples PA is 1912954694. It was assigned to this organization in the NPPES registry on May 28, 2006.

Where is Gastroenterology Group Of Naples PA located?

Gastroenterology Group Of Naples PA is located at 1064 Goodlette Rd N, Naples, FL 34102. The listed phone number is (239) 649-1186.

What is Gastroenterology Group Of Naples PA's specialty?

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

Is Gastroenterology Group Of Naples PA enrolled in Medicare?

Yes. Gastroenterology Group Of Naples PA is registered in the Medicare PECOS enrollment system.

When is Gastroenterology Group Of Naples PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Gastroenterology Group Of Naples PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Gastroenterology Group Of Naples 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 (4), Nurse Practitioner (1) and Pathology (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gastroenterology Group Of Naples PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0681372) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gastroenterology Group Of Naples PA accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) list Gastroenterology Group Of Naples 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 Gastroenterology Group Of Naples PA was last updated on July 16, 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.