GAUTHAM MOGILISHETTY M.D. NPI 1649237314

NPI Information

NPI: 1649237314
Provider Name: GAUTHAM MOGILISHETTY, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Organization: MOGILISHETTY PLLC

PECOS Registration: Yes

Address:
7981 GLADIOLUS DR
FORT MYERS, FL
ZIP 33908
Phone: (239) 939-0999
Get Directions

Gautham Mogilishetty, M.D. is a nephrology internal medicine in Fort Myers, FL with 31 years of experience. The provider is 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. Gautham Mogilishetty, M.D. NPI is 1649237314. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7981 GLADIOLUS DR
FORT MYERS, FL
ZIP 33908-154
Phone: (239) 939-0999

The NPI 1649237314 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 8/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		35-084821	OHIO	No
2	207RN0300X	Internal Medicine	Nephrology	ME129188	FLORIDA	Yes
3	207RN0300X	Internal Medicine	Nephrology	35-084821	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200207710	MEDICAID	INDIANA
2	P00158085	OTHER	OHIO	RAIL ROAD MEDICARE
3	2521542	MEDICAID	OHIO
4	64091192	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »