GATEWAY MEDICAL GROUP LC
NPI 1124012422
Internal Medicine - Cardiovascular Disease in Okeechobee, FL
NPI Status: Active since September 01, 2005
Contact Information
111 NE 19TH DR
OKEECHOBEE, FL
ZIP 34972
Phone: (863) 357-1068
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Internal Medicine
- Cardiovascular Disease
- Accepts Insurance
- CLIA Number: 10D0963878
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-10-2025
About GATEWAY MEDICAL GROUP LC
This page provides the complete NPI Profile along with additional information for Gateway Medical Group Lc, an internist established in Okeechobee, Florida operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1124012422 assigned on September 2005. The practitioner's primary taxonomy code is 207RC0000X with license number ME0043238 (FL). The provider is registered as an organization and their NPI record was last updated September 2025. Gateway Medical Group Lc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. John Smith (Coo)
- NPI
- 1124012422
- Provider Name
- GATEWAY MEDICAL GROUP LC
- Entity Type
- Organization
- Location Address
- 111 NE 19TH DR OKEECHOBEE, FL 34972
- Location Phone
- (863) 357-1068
- Mailing Address
- 312 NW 5TH ST OKEECHOBEE, FL 34972
- Mailing Phone
- (863) 467-7084
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-01-2005
- Last Update Date
- 09-11-2025
- Code Navigator
An internist like Gateway Medical Group Lc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME0043238
- License State
- FL
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | ME0071118 (FL) |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | ME0077602 (FL) |
| 3 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | ME0071683 (FL) |
| 4 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | ME0066502 (FL) |
| 5 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | ME0057971 (FL) |
| 6 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | ME0021723 (FL) |
| 7 | 207ZP0105X | Allopathic & Osteopathic Physicians | Pathology | ME0060313 (FL) |
| 8 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | ME0060312 (FL) |
| 9 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | ME0069465 (FL) |
| 10 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | ME0021272 (FL) |
| 11 | 208800000X | Allopathic & Osteopathic Physicians | Urology | ME0080601 (FL) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Connect Bronze 0 Indiv Med Deductible - EPO
- Connect Bronze 5500 Indiv Med Deductible - EPO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold 800 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3600 Indiv Med Deductible - EPO
- Connect Silver 4300 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D0963878
- Facility Type
- Physician Office
- Certificate Effective Date
- August 11, 2023
- Certificate Expiration Date
- August 10, 2025
- Laboratory Director
- IQBAL AHMED MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gateway Medical Group Lc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for GATEWAY MEDICAL GROUP LC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 0 | 1 | 2 | 4 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 0 | 1 | 4 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 0 + 1 + 4 + 4 + 4 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1124012422 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902596778 | ABA THERAPY SOLUTIONS, LLC Organization | Behavior Analyst | 111 NE 19TH DR OKEECHOBEE, FL 34972 (772) 888-3431 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124012422, enumerated in the NPI registry as an "organization" on September 01, 2005
The provider is located at 111 Ne 19th Dr Okeechobee, Fl 34972 and the phone number is (863) 357-1068
This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease
The provider might be accepting Accepts: Aetna CVS Health and Cigna Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D0963878 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 01, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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