Integrated Digestive Partners, P.A. – Gastroenterology Physician, NPI 1174287700
Gastroenterology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Integrated Digestive Partners, P.A.
112 N Curry St
Carson City, NV 897034934
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
37 N Orange Ave Ste 500
Orlando, FL 328012438
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
508 Meeting St
West Columbia, SC 291697535
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
222 Jefferson Blvd Ste 200
Warwick, RI 028883855
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
2908 Poston Ave
Nashville, TN 372031309
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
503 S Pierre St
Pierre, SD 575014522
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
2595 Interstate Dr Ste 103
Harrisburg, PA 171109378
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
1090 Vermont Ave NW
Washington, DC 200054905
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
209 Washington St W
Charleston, WV 253022348
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
2 Sun Ct Ste 400
Peachtree Corners, GA 300922865
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
1305 12th Ave Rd
Nampa, ID 836866003
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
801 Adlai Stevenson Dr
Springfield, IL 627034261
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
251 Little Falls Dr
Wilmington, DE 198081674
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
1201 Hays St
Tallahassee, FL 323012699
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
300 S Spring St Ste 900
Little Rock, AR 722012425
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
1821 Logan Ave
Cheyenne, WY 820015007
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
1160 Dublin Rd Ste 400
Columbus, OH 432151052
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
3410 Belle Chase Way Ste 600
Lansing, MI 489114274
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
135 N Pennsylvania St Ste 1610
Indianapolis, IN 462042448
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
450 Laurel St Fl 8
Baton Rouge, LA 708011834
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
221 Bolivar St
Jefferson City, MO 651011572
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
109 Executive Dr Ste 3
Madison, MS 391108497
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
26 W 6th Ave # 1691
Helena, MT 596015035
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
2626 Glenwood Ave Ste 550
Raleigh, NC 276081370
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
300 Deschutes Way SW Ste 208
Tumwater, WA 985017719
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
641 S Lawrence St
Montgomery, AL 361045809
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
211 E 7th St Ste 620
Austin, TX 787013218
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
15 W South Temple Ste 600
Salt Lake City, UT 841011536
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
228 PARK AVE S STE 16389
NEW YORK, NY 100031502
Phone: (646) 876-8455
Type: Location
2345 Rice St Ste 230
Roseville, MN 551133769
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
8585 Old Dairy Rd Ste 208
Juneau, AK 998018094
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
8825 N 23rd Ave Ste 100
Phoenix, AZ 850214148
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
1900 W Littleton Blvd
Littleton, CO 801202023
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
33 E Main St Ste 610
Madison, WI 537034655
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
1127 Broadway St NE Ste 310
Salem, OR 973011143
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
421 W Main St
Frankfort, KY 406011815
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
7 Saint Paul St Ste 820
Baltimore, MD 212021681
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
45 Memorial Cir
Augusta, ME 043306400
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
418 N 2nd St
Bismarck, ND 585013826
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
233 S 13th St Ste 1900
Lincoln, NE 685082000
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
10300 Greenbriar Pl
Oklahoma City, OK 731597653
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
10 Ferry St Ste 313
Concord, NH 033015004
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
110 E Broadway St
Hobbs, NM 882408424
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
1003 Bishop St Ste 1600
Honolulu, HI 968136452
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
505 5th Ave Ste 729
Des Moines, IA 503092318
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
225 Asylum St Fl 20
Hartford, CT 061031532
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
100 Shockoe Slip Fl 2
Richmond, VA 232194100
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
100 N Main St Ste 2
Barre, VT 056414150
Phone: (646) 876-8455
Fax: (833) 314-0246
Type: Location
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: 2025-05-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20250423002335 | O | Clinic/Group Practice | TX | TBD |
| O20250423003419 | O | Clinic/Group Practice | IL | TBD |
| O20250501000858 | O | Clinic/Group Practice | PA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89703)
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