Individual provider Active NPI

Chhavi Gupta, MD

  • Nephrology Physician
  • Tampa, FL
National Provider Identifier
1003052945
Registry record updated Dec 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME115872 Issued in FL
Practice address
508 S Habana Ave.
Suite 270
Tampa, FL 33609-3718
Phone
(813) 388-1732
Fax
(813) 864-9292
NPI assigned
Dec 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME115872 FL Primary

Addresses

Primary practice location

508 S Habana Ave.
Suite 270
Tampa, FL 33609-3718

Mailing address

508 S Habana Ave
Suite 270
Tampa, FL 33609-4181
Phone (813) 388-1732

Other identifiers 1

IdentifierTypeStateIssuer
106046200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131010001936 FL Practitioner - Nephrology 1850553561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

508 S Habana Ave
Suite 270
Tampa, FL 33609-4198
Phone (813) 388-1732

Hospital & facility affiliations

  • DaVita Central Tampa Dialysis Dialysis facility, Tampa, FL, CCN 102605
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Renal LLC Nephrology CurrentSince Dec 1, 2015 Accepting new patients
Kidneyspa Tampa Bay Home LLC PastSince Sep 1, 2023 Accepting new patients

Locations

508 S Habana Ave
Ste 270
Tampa, FL 33609
Phone (813) 388-1732

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766793600000",
    "number": "1003052945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S HABANA AVE",
            "address_2": "SUITE 270",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094181",
            "telephone_number": "813-388-1732",
            "fax_number": "813-864-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S HABANA AVE.",
            "address_2": "SUITE 270",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093718",
            "telephone_number": "813-388-1732",
            "fax_number": "813-864-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "CHHAVI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-24",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME115872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106046200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.