Shravan Gupta, D.O.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

OS17809 Issued in FL

Practice address

7895 Seminole Blvd Ste 101-102
Seminole, FL 33772-4891

Phone

(727) 526-8000

NPI assigned

Apr 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

AnesthesiologyAlso: Interventional Pain Management

Education

Nova Southeastern College of Osteo Medicine, 2017

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)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

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

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.

• Amitabh Gupta MD PA

  • Rehabilitation Clinic/Center
  • St Petersburg, FL
  • NPI 1578525739
  Medicare reassignment Care Compare group NPD
• Amitabh Gupta MD PA

  • Physical Medicine & Rehabilitation Physician
  • Seminole, FL
  • NPI 1194977066
  NPD (past)

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1679006738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 LEATHER FERN CT N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337824318",
            "telephone_number": "727-771-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7895 SEMINOLE BLVD STE 101-102",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724891",
            "telephone_number": "727-526-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SHRAVAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-06",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "OS17809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guardian Angel Home Care Services, Inc.
• Peter N. Guastella, DPT
• Gulf Breeze Chiropractic and Wellness, LLC
• Gulfcoast Learning LLC
• Catherine Nerissa Austria Gumayagay, RPT
• Kathleen Gurley, M.S. CCC-SLP
• Lisandra Gutierrez Rodriguez
• Allen N. Haimes, D.D.S.
• Charlene Diane Haines, LMT
• Kathleen Haley, PTA

• Pain Medicine (Anesthesiology) Physician in Seminole, FL
• Providers in Seminole, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.

Verify at the official NPI Registry.