Individual provider Active NPI

Javas Gupta, MD

  • Internal Medicine Physician
  • Spring Hill, FL
National Provider Identifier
1912560152
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME156716 Issued in FL
Practice address
3378 Mariner Blvd
Spring Hill, FL 34609-2460
Phone
(352) 796-7171
Fax
(352) 684-6843
NPI assigned
Apr 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X ME156716 FL Primary

Addresses

Primary practice location

3378 Mariner Blvd
Spring Hill, FL 34609-2460

Mailing address

3378 Mariner Blvd
Spring Hill, FL 34609-2460
Phone (352) 796-7171

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
I20220906000265 FL Practitioner - Internal Medicine 3779967013 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Hospitalists PL CurrentSince Mar 3, 2026 Accepting new patients
Absolute Healthcare LLC Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients

Locations

3376 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 684-3300

3378 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 796-7171

15310 Amberly Dr
Ste 250
Tampa, FL 33647
Phone (813) 530-5257

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1555200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1912560152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3378 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092460",
            "telephone_number": "352-796-7171",
            "fax_number": "352-684-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3378 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092460",
            "telephone_number": "352-796-7171",
            "fax_number": "352-684-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "JAVAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-14",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME156716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.