Amitabh Gupta MD PA

A Medicare group practice based in Seminole, FL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6305865379), with 2 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6305865379The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - General Practice, Part B Supplier - Clinic/Group Practice
Enrolled in
FL
Enrollments
3
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 4 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20100930046422 FL DME Supplier - Physician - General Practice 1194977066
O20100930059688 FL DME Supplier - Physician - General Practice 1578525739
O20051118000347 FL Part B Supplier - Clinic/Group Practice 1578525739

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 2

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

Sources for this page