Individual provider Active NPI

Achyut Natvarial Gandhi, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1740288521
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME111858 Issued in FL
Practice address
3901 Coconut Palm Dr Ste 120
Tampa, FL 33619-8362
Phone
(813) 289-6597
Fax
(865) 769-3454
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME111858 FL
Internal Medicine Physician 207R00000X ME111858 FL Primary

Addresses

Primary practice location

3901 Coconut Palm Dr Ste 120
Tampa, FL 33619-8362

Mailing address

3901 Coconut Palm Dr Ste 120
Tampa, FL 33619-8362
Phone (813) 289-6597

Other practice location 1

3030 North Rocky Point Drive West
Suite 670
Tampa, FL 33607-5906
Phone (813) 289-6597

Other practice location 2

3030 North Rocky Point Drive West
Suite 670
Tampa, FL 33607-5906
Phone (813) 289-6597

Other identifiers 1

IdentifierTypeStateIssuer
015441300MedicaidFL

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
I20160218000805 FL Practitioner - Internal Medicine 8820068182 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Aug 10, 2015 Accepting new patients
Sunstate Physicians LLC Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Aug 10, 2015 Accepting new patients
Inpatient Consultants of Florida, Inc. Internal Medicine Past Accepting new patients
Hoboken Emergency Physicians, PC Emergency Medicine Past Accepting new patients
Ipc Hospitalist Physicians of New Jersey PC Internal Medicine Past Accepting new patients

Locations

2234 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 306-5469

2770 Regency Oaks Blvd
Clearwater, FL 33759
Phone (727) 791-1500

801 West Bay Dr
Ste 321
Largo, FL 33770
Phone (561) 302-6086

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

3030 N Rocky Point Dr W
Ste 670
Tampa, FL 33607
Phone (813) 289-6597

3901 Coconut Palm Dr
Ste 120
Tampa, FL 33619
Phone (813) 289-6597

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740288521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 COCONUT PALM DR STE 120",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198362",
            "telephone_number": "813-289-6597",
            "fax_number": "865-769-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 COCONUT PALM DR STE 120",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198362",
            "telephone_number": "813-289-6597",
            "fax_number": "865-769-3454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 NORTH ROCKY POINT DRIVE WEST",
            "address_2": "Suite 670",
            "address_purpose": "LOCATION",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075906",
            "country_code": "US",
            "telephone_number": "813-289-6597",
            "fax_number": "813-289-6592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 NORTH ROCKY POINT DRIVE WEST",
            "address_2": "Suite 670",
            "address_purpose": "LOCATION",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075906",
            "country_code": "US",
            "telephone_number": "813-289-6597",
            "fax_number": "813-289-6592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "ACHYUT",
        "middle_name": "NATVARIAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME111858",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME111858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015441300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.