ABHISHEK GOWDA (M.D.) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1710114772

ABHISHEK GOWDA (M.D.) is a healthcare provider. based in San francisco, California. specializing in PHYSICAL MEDICINE AND REHABILITATION, PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. A116395 (CA). The NPI Number for ABHISHEK GOWDA (M.D.) is 1710114772

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
ABHISHEK GOWDA (M.D.)
NPI
1710114772
Phone
Not provided
Address
300 BERRY ST UNIT 813
Enumeration Date
17 June 2009
Last Update Date
31 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
4083641616
Graduation Year
2009 (17 years ago)
PAC ID
4385865328
Group Practice PAC ID
5799707782
Professional Enrollment ID
I20141016001386
Address ID
CA950081948CA429XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:16State licenses:1Digital endpointsOther names

1,149 PHYSICAL MEDICINE AND REHABILITATION in CA

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Provider Addresses for ABHISHEK GOWDA (M.D.)

  • 300 BERRY ST UNIT 813

    SAN FRANCISCO, CA 941581666

    Phone:

    Type: Mailing

  • Spine & Sports Medical Group, 429, Llewellyn Avenue, Campbell, Santa Clara County, California, 95008, United States

    CAMPBELL, CA 950081948

    Phone: (408) 364-1616

    Fax: (408) 378-6775

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141016001386IPhysical Medicine And RehabilitationCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes20762$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level3328$0
96372Injection of drug or substance under skin or into muscle2712$0
J2001Injection, lidocaine hcl for intravenous infusion, 10 mg2612$0
64484Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level1916$0
View full utilization report →

Insurance plans in this area (ZIP 94158)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799707782View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationCA

Reviews

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Frequently asked questions

Can I cross-check ABHISHEK GOWDA (M.D.) using NPI 1710114772?
NPI 1710114772 belongs to ABHISHEK GOWDA (M.D.); compare other details if you need extra assurance.
Is ABHISHEK GOWDA (M.D.) still an active registrant?
ABHISHEK GOWDA (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is ABHISHEK GOWDA (M.D.)?
ABHISHEK GOWDA (M.D.) is associated with Pain Medicine (Physical Medicine & Rehabilitation) Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ABHISHEK GOWDA (M.D.)?
Directory geography for ABHISHEK GOWDA (M.D.) centers on San Francisco, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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