Individual provider Active NPI

Gurubasanagouda Payappagoudar, M.D.

  • Anesthesiology Physician
  • Palm Harbor, FL
National Provider Identifier
1073780334
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME0107461 Issued in FL
Practice address
3926 Arlington Dr
Palm Harbor, FL 34685-1068
Phone
(312) 927-7481
NPI assigned
May 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME0107461 FL Primary

Addresses

Primary practice location

3926 Arlington Dr
Palm Harbor, FL 34685-1068

Mailing address

3926 Arlington Dr
Palm Harbor, FL 34685-1068
Phone (312) 927-7481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100929000061 FL Practitioner - Anesthesiology 6709902604 Reassigns benefits to 4 organizations
I20230817001617 NY Practitioner - Anesthesiology 6709902604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Anesthesiologists of the Finger Lakes LLPGroup PAC ID 3476597303, 25 clinicians

Practice addresses (Care Compare)

600 Roe Ave
Elmira, NY 14905-1629
Phone (607) 737-4100

Hospital & facility affiliations

  • Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090
  • Ira Davenport Memorial Hospital Hospital, Bath, NY, CCN 330800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
324513NYMDLicensed Practical Nurse
ME0107461FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ams National LLC Anesthesiology CurrentSince Feb 6, 2023 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Oct 7, 2019 Accepting new patients
American Anesthesiology Services of Florida, Inc. Anesthesiology CurrentSince Dec 1, 2022 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Oct 7, 2019 Accepting new patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Feb 28, 2021 Accepting new patients
Associated Anesthesiologists of the Finger Lakes, L.L.P. Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

14104 Yosemite Dr
Hudson, FL 34667
Phone (727) 869-5040

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

11375 Cortez Blvd
#50
Spring Hill, FL 34613
Phone (352) 592-2753

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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 2

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1073780334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3926 ARLINGTON DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851068",
            "telephone_number": "312-927-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3926 ARLINGTON DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851068",
            "telephone_number": "312-927-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYAPPAGOUDAR",
        "first_name": "GURUBASANAGOUDA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME0107461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.