Individual provider Active NPI

Amitabh P Gupta, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • St Petersburg, FL
National Provider Identifier
1376521807
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME85225 Issued in FL
Practice address
5800 49TH St N
Suite S 205
St Petersburg, FL 33709-2146
Phone
(727) 526-8000
Fax
(727) 521-2600
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME85225 FL Primary

Addresses

Primary practice location

5800 49TH St N
Suite S 205
St Petersburg, FL 33709-2146

Mailing address

5800 49TH St N
Suite S 205
St Petersburg, FL 33709-2146
Phone (727) 526-8000

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
I20050929000087 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 4385679257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amitabh Gupta MD PAGroup PAC ID 6305865379, 2 clinicians

Practice addresses (Care Compare)

5800 49TH St N
Suite S 205
St Petersburg, FL 33709-9100
Phone (727) 526-8000

Hospital & facility affiliations

  • HCA Florida Pasadena Hospital a Part of HCA Florid Hospital, Saint Petersburg, FL, CCN 100126
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amitabh Gupta MD PA CurrentSince Oct 19, 2005 Accepting new patients
Amitabh Gupta MD PA CurrentSince Jun 21, 2005 Accepting new patients

Locations

7895 Seminole Blvd
Ste 101
Seminole, FL 33772
Phone (727) 393-2732

9555 Seminole Blvd
Ste 100
Seminole, FL 33772
Phone (727) 393-2732

5800 49th St N
Ste 205
St Petersburg, FL 33709
Phone (727) 525-1134

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

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

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 1

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376521807",
    "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",
            "fax_number": "727-521-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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",
            "fax_number": "727-521-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "AMITABH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME85225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.