Coral Ridge Gastroenterology Associates LLC
NPI 1265628424 · Gastroenterology Physician · Ft Lauderdale, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coral Ridge Gastroenterology Associates LLC is a Gastroenterology Physician organization in Ft Lauderdale, FL (NPI 1265628424).
Provider details
- NPI number
- 1265628424
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- V. Botoman, Facg/Facp(954) 202-7850
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-09-21
- Last updated
- 2008-01-09
Frequently asked questions
- What is Coral Ridge Gastroenterology Associates LLC's NPI number?
- Coral Ridge Gastroenterology Associates LLC's National Provider Identifier (NPI) is 1265628424, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coral Ridge Gastroenterology Associates LLC?
- Coral Ridge Gastroenterology Associates LLC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Coral Ridge Gastroenterology Associates LLC located?
- Coral Ridge Gastroenterology Associates LLC's practice location on file with NPPES is 2021 E Commercial Blvd, Ft Lauderdale, FL 33308-3763.
- What is Coral Ridge Gastroenterology Associates LLC's phone number?
- The practice phone number listed in the NPPES registry for Coral Ridge Gastroenterology Associates LLC is (954) 202-7850.
- Does Coral Ridge Gastroenterology Associates LLC accept Medicare?
- Coral Ridge Gastroenterology Associates LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Coral Ridge Gastroenterology Associates LLC?
- The authorized official listed on Coral Ridge Gastroenterology Associates LLC's NPPES record is V. Botoman, Facg/Facp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coral Ridge Gastroenterology Associates LLC's NPI active?
- Yes — Coral Ridge Gastroenterology Associates LLC's NPI (1265628424) is active in the NPPES registry as of the last update on 2008-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.