Active NPI
Gaurav A. Bansode, MD
- Family Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12665
- Practice address
- 400 N Tampa St FL 15
Tampa, FL 33602-4730 - Phone
- (888) 803-3370
- Fax
- (888) 803-3331
- NPI assigned
- Aug 5, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME158614 | FL | |
| Family Medicine Physician | 207Q00000X | 12665 | ND | Primary |
Addresses
Primary practice location
400 N Tampa St FL 15
Tampa, FL 33602-4730
Mailing address
400 N Tampa St FL 15
Tampa, FL 33602-4730
Other practice location 1
333 1st St Ste A
San Francisco, CA 94105-2661
Phone (888) 803-3370
Other practice location 2
2820 NE 214th St Ste 801
Aventura, FL 33180-1269
Phone (888) 803-3370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230123002131 | FL | Practitioner - Family Practice | 5496998510 | Reassigns benefits to 2 organizations |
| I20260625004451 | CA | Practitioner - Family Practice | 5496998510 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1330 Budinger Ave
Suite 101
Saint Cloud, FL 34769-4123
Phone (407) 944-9041
Hospital & facility affiliations
- Orlando Health St Cloud Hospital
- Orlando Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME158614 | FL | MD | Family Medicine Physician |
| 12665 | ND | MD | Family Medicine Physician |
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Circle Medical Care Group PA | Family Medicine | Current | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441
2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
2906 17th St
Saint Cloud, FL 34769
Phone (407) 425-4847
1330 Budinger Ave
Ste 101
Saint Cloud, FL 34769
Phone (407) 891-2940
400 N Tampa St
Fl 15
Tampa, FL 33602
Phone (844) 435-6833
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 5
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.
-
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- Winter Park, FL
- NPI 1265019541
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
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": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1134433857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N TAMPA ST FL 15",
"city": "TAMPA",
"state": "FL",
"postal_code": "336024730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N TAMPA ST FL 15",
"city": "TAMPA",
"state": "FL",
"postal_code": "336024730",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331"
}
],
"practiceLocations": [
{
"address_1": "333 1st St Ste A",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941052661",
"country_code": "US",
"telephone_number": "888-803-3370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2820 NE 214th St Ste 801",
"address_purpose": "LOCATION",
"city": "Aventura",
"state": "FL",
"postal_code": "331801269",
"country_code": "US",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANSODE",
"first_name": "GAURAV",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-05",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME158614",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "12665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.