DR. DEEPAK KUMAR PASUPULA (MD, MPH) – Internal Medicine Physician, NPI 1619382397

DR. DEEPAK KUMAR PASUPULA (MD, MPH) is a healthcare provider. based in Jacksonville, Florida. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD, MPH. They hold a License No. ME160409 (FL). The NPI Number for DR. DEEPAK KUMAR PASUPULA (MD, MPH) is 1619382397

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEEPAK KUMAR PASUPULA (MD, MPH)
NPI
1619382397
Phone
(904) 493-3333
Address
PO BOX 551308
Enumeration Date
21 June 2014
Last Update Date
20 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9044933333
Graduation Year
2010 (16 years ago)
PAC ID
4789943143
Group Practice PAC ID
6002803020
Professional Enrollment ID
I20230725002325
Address ID
FL322566953JA7011XPKWY502

Contacts

Secure Messaging
mc.mmcmc.him@direct.2.mycarefile.org
Secure Messaging
heartcenternurse@mcclinic.direct-ci.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness95
Years active:11State licenses:1Other names

298 CARDIAC ELECTROPHYSIOLOGY in FL

Provider Addresses for DR. DEEPAK KUMAR PASUPULA (MD, MPH)

  • PO BOX 551308

    JACKSONVILLE, FL 322551308

    Phone: (904) 493-3333

    Fax: (904) 493-2222

    Type: Mailing

  • 1000 4TH ST SW

    MASON CITY, IA 504012800

    Phone: (412) 999-8606

    Type: Mailing

  • 205 Zeagler Dr Ste 101

    Palatka, FL 321773860

    Phone: (386) 325-2836

    Fax: (386) 325-2736

    Type: Location

  • 1681 Eagle Harbor Pkwy Ste B

    Fleming Island, FL 320034819

    Phone: (904) 644-0092

    Fax: (904) 644-0099

    Type: Location

  • 3890 Dunn Ave Ste 203

    Jacksonville, FL 322186428

    Phone: (904) 493-3333

    Fax: (904) 493-2222

    Type: Location

  • 7011 A C SKINNER PKWY STE 160

    JACKSONVILLE, FL 322566953

    Phone: (904) 493-3333

    Fax: (904) 493-2222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 84 Open Payments records for all available years, with a total value of $10,707.

Total Amount is formed as General ($10,707) + Research ($0) + Ownership ($0) = $10,707.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($5,798).

Total Amount

$10,707

General + Research + Ownership

Payments

84

Total payment records

General Amount

$10,707

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20221006000135IInternal MedicineIATBD
I20230725002325ICardiac ElectrophysiologyFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32255)

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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: 6002803020View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerFL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
Nurse PractitionerFL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
Nurse PractitionerFL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
Pulmonary Disease, Critical Care (Intensivists)FL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
Cardiovascular Disease (Cardiology), Interventional CardiologyFL

Reviews

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Frequently asked questions

Is DR. DEEPAK KUMAR PASUPULA (MD, MPH) listed with a National Provider Identifier?
Yes — DR. DEEPAK KUMAR PASUPULA (MD, MPH) has NPI 1619382397 on file in the registry.
Would DR. DEEPAK KUMAR PASUPULA (MD, MPH) appear as active to a payer?
You can treat DR. DEEPAK KUMAR PASUPULA (MD, MPH) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. DEEPAK KUMAR PASUPULA (MD, MPH)?
DR. DEEPAK KUMAR PASUPULA (MD, MPH) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DEEPAK KUMAR PASUPULA (MD, MPH)?
Directory geography for DR. DEEPAK KUMAR PASUPULA (MD, MPH) centers on Jacksonville, Florida.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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