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NPISignal

Individual Healthcare Provider

Irina F Gershin-Stevens, DO

NPI Record: ActivePediatrics — Pediatric Nephrology
NPI1629094735
Port Charlotte, Florida

Provider's NPPES record last updated: June 27, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1629094735
Primary Specialty
Pediatrics — Pediatric Nephrology
Practice Location
Port Charlotte, Florida
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 10:14 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Pediatric Nephrology

    Allopathic & Osteopathic Physicians

    Primary

    A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

    Taxonomy code 2080P0210X

Provider-Reported License Information

Pediatrics (Florida)
OS10700
Pediatrics (New York)
225785
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

22655 Bayshore Rd Ste 110

Port Charlotte, Florida 33980-2005

Phone: (941) 235-4900

Additional Practice Location

16261 Bass Rd Ste 100

Fort Myers, Florida 33908-3671

Phone: (239) 343-9890

Fax: (239) 343-9898

Additional Practice Location

15901 Bass Rd Ste 102

Fort Myers, Florida 33908-3838

Phone: (239) 343-9890

Fax: (239) 343-9898

Record Information

Enumeration Date
July 14, 2006
Provider's NPPES Record Last Updated
June 27, 2024
Certification Date
June 27, 2024
NPISignal NPPES Dataset
August 2026

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