DR. GNANESWARA V MIDATHALA (M.D.) – Psychiatry Physician, NPI 1750393237

DR. GNANESWARA V MIDATHALA (M.D.) is a healthcare provider. based in New port richey, Florida. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. 036092506 (IL). The NPI Number for DR. GNANESWARA V MIDATHALA (M.D.) is 1750393237

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. GNANESWARA V MIDATHALA (M.D.)
NPI
1750393237
Phone
(309) 310-4399
Address
8225 State Road 54
Enumeration Date
12 August 2006
Last Update Date
2 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3525472081
Graduation Year
1987 (39 years ago)
PAC ID
1052392826
Group Practice PAC ID
0244303014
Professional Enrollment ID
I20110715000611
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

Provider Addresses for DR. GNANESWARA V MIDATHALA (M.D.)

  • 8225 State Road 54

    New Port Richey, FL 346553016

    Phone: (309) 310-4399

    Type: Location

  • 1600 SW Archer Rd

    Gainesville, FL 326104306

    Phone: (352) 392-0140

    Type: Location

  • 10 Patewood Dr Ste 130

    Greenville, SC 296156317

    Phone: (864) 455-8988

    Fax: (864) 522-5555

    Type: Location

  • The Vines Hospital, 3130, Southwest 27th Avenue, Ocala, Marion County, Florida, 34471, United States

    OCALA, FL 344714306

    Phone: (352) 547-2097

    Type: Location

  • PO BOX 100183

    GAINESVILLE, FL 326100183

    Phone: (352) 392-0140

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-12-13 • Largest payer in this snapshot: Indivior Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Indivior Inc.$21
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110715000611IPsychiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10670$0
90792Psychiatric diagnostic evaluation with medical services6766$0
90791Psychiatric diagnostic evaluation5453$0
View full utilization report →

Insurance plans in this area (ZIP 34655)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244303014View full group profile
NameSpecialtyState
P S Y C H I A T R YFL
P S Y C H I A T R YFL
P S Y C H I A T R YNV
P S Y C H I A T R YFL
P S Y C H I A T R YPA
P S Y C H I A T R YOR
Nurse PractitionerFL
P S Y C H I A T R YFL
P S Y C H I A T R YFL
-FL

Reviews

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Frequently asked questions

Is there an official ID for DR. GNANESWARA V MIDATHALA (M.D.) in U.S. healthcare records?
The official identifier for DR. GNANESWARA V MIDATHALA (M.D.) is NPI 1750393237.
Would DR. GNANESWARA V MIDATHALA (M.D.) appear as active to a payer?
You can treat DR. GNANESWARA V MIDATHALA (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. GNANESWARA V MIDATHALA (M.D.)'s focus?
For DR. GNANESWARA V MIDATHALA (M.D.), the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. GNANESWARA V MIDATHALA (M.D.)?
Directory geography for DR. GNANESWARA V MIDATHALA (M.D.) centers on New Port Richey, Florida.
Can I trust this NPI listing for DR. GNANESWARA V MIDATHALA (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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