Individual provider Active NPI

Ashwani Kumar Gupta, MD MPH

  • Nephrology Physician
  • St Petersburg, FL
National Provider Identifier
1083736433
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME107040 Issued in FL
Practice address
635 4TH St N
Ste 200
St Petersburg, FL 33701-2319
Phone
(727) 201-4968
Fax
(727) 201-4971
NPI assigned
Apr 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301085675 MI
Nephrology Physician 207RN0300X ME107040 FL Primary

Addresses

Primary practice location

635 4TH St N
Ste 200
St Petersburg, FL 33701-2319

Mailing address

14134 Nephron LN
Hudson, FL 34667-6504
Phone (727) 863-5418

Other identifiers 1

IdentifierTypeStateIssuer
0023651-00MedicaidFL

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
I20100824000950 FL Practitioner - NephrologyPractitioner - Internal Medicine 1052435336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Kidney Partners LLPGroup PAC ID 7012981350, 63 clinicians

Practice addresses (Care Compare)

14134 Nephron LN
Hudson, FL 34667-6504
Phone (727) 863-5418

Hospital & facility affiliations

  • Fresenius Kidney Care Apollo Beach Dialysis facility, Ruskin, FL, CCN 682707
  • Brandon Artificial Kidney Center Dialysis facility, Brandon, FL, CCN 102584
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • HCA Florida South Tampa Hospital Hospital, Tampa, FL, CCN 100206
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243
  • HCA Florida South Shore Hospital Hospital, Sun City Center, FL, CCN 100259

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301085675MIMDInternal Medicine Physician
ME107040FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 1, 2010 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Internal Medicine Current Accepting new patients
National Kidney Partners, LLP Nephrology CurrentSince Jul 16, 2016 Accepting new patients
University of Florida Jacksonville Physicians Inc Nephrology CurrentSince Jul 1, 2010 Accepting new patients

Locations

823 S Parsons Ave
Brandon, FL 33511
Phone (813) 600-3401

908 S Parsons Ave
Ste D
Brandon, FL 33511
Phone (813) 655-9955

29296 US Highway 19 N
Ste 4
Clearwater, FL 33761
Phone (727) 772-1738

14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

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

635 4th St N
Ste 200
St Petersburg, FL 33701
Phone (727) 201-4968

4160 N Armenia Ave
Tampa, FL 33607
Phone (813) 443-4549

7555 W Waters Ave
Tampa, FL 33615
Phone (786) 678-3473

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: agupta77175@direct.acumenmd.com

Organizations & group practices 4

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 9

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": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1083736433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14134 NEPHRON LN",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676504",
            "telephone_number": "727-863-5418",
            "fax_number": "727-869-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 4TH ST N",
            "address_2": "STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337012319",
            "telephone_number": "727-201-4968",
            "fax_number": "727-201-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ASHWANI",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-05",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301085675",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME107040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023651-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.