MOGILISHETTY PLLC
NPI 1972117109
Internal Medicine - Nephrology in Lehigh Acres, FL

Q: What is Mogilishetty PLLC's NPI number?

The NPI number for Mogilishetty PLLC is 1972117109. It was assigned to this organization in the NPPES registry on September 4, 2020.

Q: What is Mogilishetty PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Mogilishetty PLLC was last updated on January 29, 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.

Active since September 04, 2020CLIA 10D2312046 · Waiver

3400 LEE BLVD STE 112, LEHIGH ACRES, FL 33971(239) 939-0999(239) 939-1070 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2026, Nov 11, 2022, Nov 23, 2021 and 3 more (6 updates tracked since 2020).

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About Mogilishetty Pllc NPPES

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

MOGILISHETTY PLLC (NPI 1972117109) is a healthcare organization registered as a nephrology in Lehigh Acres, Florida and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists Gautham Mogilishetty, Md, as its authorized official.

NPPES Registry Identity

NPI1972117109

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameMOGILISHETTY PLLC

Location Address3400 LEE BLVD STE 112Lehigh Acres, FL 33971-1309

Mailing Address3400 Lee Blvd Ste 112Lehigh Acres, FL 33971-1309 · (239) 939-0999 · Fax (239) 939-1070

Phone(239) 939-0999

Fax(239) 939-1070

Organization SubpartNo

Authorized OfficialGautham MogilishettyMd · (239) 939-0999

Enumeration DateSeptember 4, 2020

Last NPPES UpdateJanuary 29, 20266 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2026

✔ NPI 1972117109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

3400 LEE BLVD STE 112, Lehigh Acres, FL 33971

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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

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare.Insurance ›

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 10D2312046

Mogilishetty PLLC · Lehigh Acres, FL

Active · expires Oct 2, 2026

CLIA Number10D2312046

Laboratory TypePhysician Office

Certificate Effective DateOctober 3, 2024

Certificate Expiration DateOctober 2, 2026

Laboratory DirectorGautham Mogilishetty

Laboratory Phone(239) 425-6633

Laboratory LocationMogilishetty PLLC3400 Lee Blvd - #112, Lehigh Acres, FL 33971

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

GAUTHAM MOGILISHETTY M.D.

Internal Medicine (Nephrology)

3400 LEE BLVD STE 112
LEHIGH ACRES, FL 33971

Lee County (239) 939-0999

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 Mogilishetty PLLC's NPI number?

The NPI number for Mogilishetty PLLC is 1972117109. It was assigned to this organization in the NPPES registry on September 4, 2020.

Where is Mogilishetty PLLC located?

Mogilishetty PLLC is located at 3400 Lee Blvd Ste 112, Lehigh Acres, FL 33971. The listed phone number is (239) 939-0999.

What is Mogilishetty PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Mogilishetty PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2312046) is associated with this NPI, valid through October 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mogilishetty PLLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Mogilishetty PLLC 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 Mogilishetty PLLC was last updated on January 29, 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.