Individual provider Active NPI

Sunil Gupta, M.D., F.A.C.C.

  • Cardiovascular Disease Physician
  • Zephyrhills, FL
National Provider Identifier
1508979311
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME78413 Issued in FL
Practice address
38035 Medical Center Ave
Zephyrhills, FL 33540
Phone
(813) 788-1400
Fax
(813) 788-7691
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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 ME78413 FL
Cardiovascular Disease Physician 207RC0000X ME78413 FL Primary

Addresses

Primary practice location

38035 Medical Center Ave
Zephyrhills, FL 33540

Mailing address

PO Box 2709
Zephyrhills, FL 33539-2709
Phone (813) 788-1400

Other identifiers 1

IdentifierTypeStateIssuer
257622800MedicaidFL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050218000640 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5193777076 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
West Florida Cardiovascular Co-Management Associates, LLCGroup PAC ID 0547538316, 36 clinicians
Premier Heart and Vascular Center PAGroup PAC ID 0648288225, 11 clinicians

Practice addresses (Care Compare)

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (800) 432-2301

38035 Medical Ctr Ave
Zephyrhills, FL 33540-1384
Phone (813) 788-1400

Hospital & facility affiliations

  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046
  • Lakeland Regional Medical Center Hospital, Lakeland, FL, CCN 100157
  • Adventhealth Dade City Hospital, Dade City, FL, CCN 100211

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Heart and Vascular Center, PA Internal Medicine CurrentSince Jan 1, 2006 Accepting new patients
Pinellas Ekg Interpreters Inc Cardiovascular Disease CurrentSince Nov 1, 2017 Accepting new patients
West Florida Cardiovascular Co-Management Associates, LLC Cardiovascular Disease CurrentSince May 30, 2017 Accepting new patients
Anil M Bhatia MD PA Internal Medicine Past Accepting new patients
Coremedy LLC Family Medicine Past Accepting new patients

Locations

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

3675 Innovation Dr
Lakeland, FL 33812

1470 N Florida Ave
Lakeland, FL 33805
Phone (863) 858-6666

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

2477 Bruce B Downs Blvd
Wesley Chapel, FL 33544

27424 Cashford Cir
Wesley Chapel, FL 33544

38035 Medical Center Ave
Zephyrhills, FL 33540
Phone (813) 782-1234

38029 Medical Center Ave
Zephyrhills, FL 33540
Phone (352) 782-0478

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.

Hospital & facility affiliations 6

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1508979311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2709",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335392709",
            "telephone_number": "813-788-1400",
            "fax_number": "813-788-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38035 MEDICAL CENTER AVE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "33540",
            "telephone_number": "813-788-1400",
            "fax_number": "813-788-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SUNIL",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME78413",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME78413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257622800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.