Amitabh Gupta MD PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME85225 Issued in FL

Legal business name

AMITABH GUPTA MD PA

Doing business as

Coastal Orthopedic Medicine, Pain Management & Rehab

Practice address

7895 Seminole Blvd
Suite# 101
Seminole, FL 33772-4891

Phone

(727) 526-8000

NPI assigned

Oct 22, 2008

Last updated

Dec 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amitabh P Gupta, MDNPI 1376521807

Title

President

Phone

(727) 526-8000

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• COASTAL ORTHOPEDIC MEDICINE, PAIN MANAGEMENT & REHAB Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Amitabh Gupta MD PA

  dba Coastal Orthopedic Medicine, Pain Management & Rehab

  • Rehabilitation Clinic/Center
  • St Petersburg, FL
  • NPI 1578525739

  6305865379

  Same PAC ID

Tax ID family

Amitabh Gupta MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Amitabh Gupta MD PA

  dba Coastal Orthopedic Medicine, Pain Management & Rehab

  • Rehabilitation Clinic/Center
  • St Petersburg, FL
  • NPI 1578525739
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GIIFBA

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amitabh P Gupta, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • St Petersburg, FL
  • NPI 1376521807
  NPD Authorized official
• Neil Diola, RPT

  • Physical Therapist
  • St Petersburg, FL
  • NPI 1154354355
  NPD (past)
• Shravan Gupta, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Seminole, FL
  • NPI 1679006738
  NPD (past)

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1194977066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N",
            "address_2": "SUITE S 205",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092146",
            "telephone_number": "727-526-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7895 SEMINOLE BLVD",
            "address_2": "SUITE# 101",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724891",
            "telephone_number": "727-526-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITABH GUPTA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "AMITABH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-526-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME85225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2744716",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "299916",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "304583",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7966328",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "17034",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COASTAL ORTHOPEDIC MEDICINE, PAIN MANAGEMENT & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• All Care Wellness and Aesthetics, LLC
• Caroline Allbert, DDS
• Allen N. Haimes D.D.S.,P.a.
• Liel Allon, DDS
• Alan W Ambrose, CRNA
• John M Anderson
• Susan Denise Anderson, DMD
• Anesthesia Dynamics LLC
• Angel Flights, LLC
• Anthony J. Auletta, Jr. D.M.D., PA

• Physical Medicine & Rehabilitation Physician in Seminole, FL
• Providers in Seminole, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.