Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gautham Mogilishetty, MD

Individual provider Internal Medicine Physician · NPI 1649237314

Gautham Mogilishetty, MD is a Nephrology in Lehigh Acres, Florida. Qualified in 1993, 33 years ago. Practices with Associates in Nephrology Butcher and Devacaanthan MD PA, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Ohio.

Years since qualifying
33
Licensed in
FL, OH
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Lee Blvd Ste 112
Lehigh Acres, FL 33971-1309
Phone: (239) 939-0999
Fax: (239) 939-1070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence ME129188 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35-084821 (OH)
Nephrology Physician Taxonomy 207RN0300X · Licence 35-084821 (OH)

Record details

NPI number1649237314
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2006
Last updated in NPPESNovember 11, 2022
Certification dateNovember 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Associates In Nephrology Butcher And Devacaanthan Md Pa — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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