MOGILISHETTY PLLC NPI 1972117109

NPI Information

  • NPI: 1972117109
  • Provider Name: MOGILISHETTY PLLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • CLIA Number: 10D2312046
  • Address: 3400 LEE BLVD STE 112
    LEHIGH ACRES, FL
    ZIP 33971
  • Phone: (239) 939-0999

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NPI Details

MOGILISHETTY PLLC is a nephrology internal medicine in Lehigh Acres, FL. 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. MOGILISHETTY PLLC NPI is 1972117109. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3400 LEE BLVD STE 112
LEHIGH ACRES, FL
ZIP 33971-309
Phone: (239) 939-0999
Fax: (239) 939-1070

The provider's authorized official is Melanie Werst .
The authorized official title is Credentialing Manager and has the following contact phone number (239) 939-0999.

The CLIA number assigned to this NPI record is 10D2312046 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/4/2020 and was last updated on 11/11/2022.

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
1207RN0300XInternal MedicineNephrologyYes

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: 11/21/2025

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