Individual provider Active NPI

Gopal Chalavarya, MD

  • Cardiovascular Disease Physician
  • Hudson, FL
National Provider Identifier
1922093921
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME53574 Issued in FL
Practice address
7614 Jacque Rd
Ste C
Hudson, FL 34667-7195
Phone
(727) 862-8383
Fax
(727) 863-4766
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME53574 FL Primary

Addresses

Primary practice location

7614 Jacque Rd
Ste C
Hudson, FL 34667-7195

Mailing address

PO Box 7386
Hudson, FL 34674-7386
Phone (727) 862-8383

Other identifiers 6

IdentifierTypeStateIssuer
185990OtherFLWELLCARE
371068800MedicaidFL
00902OtherFLUNIVERSAL
14899OtherFLBCBS
204168OtherAVMED
060063820OtherRRW MCR

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
I20100901000970 FL Practitioner - Cardiovascular Disease (Cardiology) 5193871200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Cardiology Group LLCGroup PAC ID 1153394036, 6 clinicians

Practice addresses (Care Compare)

13740 Office Park CT
Suite C
Hudson, FL 34667-7145
Phone (727) 869-5100

Hospital & facility affiliations

  • HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256
  • HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191
  • Morton Plant North Bay Hospital Hospital, New Port Richey, FL, CCN 100063
  • HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cardiology Group LLC Current Accepting new patients
West Florida Cardiovascular Co-Management Associates, LLC Cardiovascular Disease CurrentSince Dec 18, 2019 Accepting new patients
Florida Cardiology Group LLC Cardiovascular Disease CurrentSince Aug 1, 2001 Accepting new patients
Gulf Cardiology Associates Cardiovascular Disease Past Accepting new patients

Locations

7614 Jacque Rd
Ste C
Hudson, FL 34667
Phone (727) 857-5967

7420 Community Ct
Hudson, FL 34667
Phone (727) 863-6573

13740 Office Park Ct
Ste C
Hudson, FL 34667
Phone (727) 859-7670

13740 Office Park Ct
Hudson, FL 34667
Phone (727) 862-8383

4738 Grand Blvd
Ste E
New Prt Rchy, FL 34652
Phone (727) 848-6400

15004 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 596-4422

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

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: gopalchalavarya_2156@fcg.omnimddirect.com

Organizations & group practices 4

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 4

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1922093921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7386",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346747386",
            "telephone_number": "727-862-8383",
            "fax_number": "727-863-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7614 JACQUE RD",
            "address_2": "STE C",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677195",
            "telephone_number": "727-862-8383",
            "fax_number": "727-863-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALAVARYA",
        "first_name": "GOPAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME53574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "185990",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371068800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL",
            "identifier": "00902",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14899",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "204168",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRW MCR",
            "identifier": "060063820",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.