GASTROENTEROLOGY AND HEPATOLOGY ASSOCIATES OF SOUTH FLORIDA – Gastroenterology Physician, NPI 1942244868

GASTROENTEROLOGY AND HEPATOLOGY ASSOCIATES OF SOUTH FLORIDA is a healthcare provider. based in Pembroke pines, Florida. specializing in Gastroenterology Physician. The organization holds a License No. ME 45714 (FL). The NPI Number for GASTROENTEROLOGY AND HEPATOLOGY ASSOCIATES OF SOUTH FLORIDA is 1942244868

Main info

Organization
Name
GASTROENTEROLOGY AND HEPATOLOGY ASSOCIATES OF SOUTH FLORIDA
NPI
1942244868
Phone
(954) 430-2343
Address
603 N FLAMINGO RD
Authorized Official
MILTON GEDALLOVICH SENIOR PARTNER M.D.
Enumeration Date
15 June 2006
Last Update Date
18 July 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for GASTROENTEROLOGY AND HEPATOLOGY ASSOCIATES OF SOUTH FLORIDA

  • 603, North Flamingo Road, Pembroke Pines, Broward County, Florida, 33028, United States

    SUITE 258

    PEMBROKE PINES, FL 330281023

    Phone: (954) 430-2343

    Fax: (954) 433-3831

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-02-09

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
O20040209001137OClinic/Group PracticeFLTBD

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

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33028)

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Reviews

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Frequently asked questions

Can I verify GASTROENTEROLOGY AND HEPATOLOGY ASSOCIATES OF SOUTH FLORIDA with an NPI only?
You can start verification with NPI 1942244868 for GASTROENTEROLOGY AND HEPATOLOGY ASSOCIATES OF SOUTH FLORIDA, then check state licensing separately.
Is GASTROENTEROLOGY AND HEPATOLOGY ASSOCIATES OF SOUTH FLORIDA still practicing?
GASTROENTEROLOGY AND HEPATOLOGY ASSOCIATES OF SOUTH FLORIDA is currently listed as active in the public NPI registry.
What healthcare role does GASTROENTEROLOGY AND HEPATOLOGY ASSOCIATES OF SOUTH FLORIDA hold?
Scheduling teams often label GASTROENTEROLOGY AND HEPATOLOGY ASSOCIATES OF SOUTH FLORIDA under Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect GASTROENTEROLOGY AND HEPATOLOGY ASSOCIATES OF SOUTH FLORIDA on a map?
Expect Pembroke Pines, Florida as a primary anchor for GASTROENTEROLOGY AND HEPATOLOGY ASSOCIATES OF SOUTH FLORIDA unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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