SHRAVAN GUPTA (D.O.) – Pain Medicine (Anesthesiology) Physician, NPI 1679006738

SHRAVAN GUPTA (D.O.) is a healthcare provider. based in Miami, Florida. specializing in ANESTHESIOLOGY, INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials D.O.. They hold a License No. OS17809 (FL). The NPI Number for SHRAVAN GUPTA (D.O.) is 1679006738

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
SHRAVAN GUPTA (D.O.)
NPI
1679006738
Phone
(305) 585-5381
Address
1611 NW 12TH AVE
Enumeration Date
6 April 2017
Last Update Date
11 April 2023

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
7275268000
Graduation Year
2017 (9 years ago)
PAC ID
0749663631
Group Practice PAC ID
6305865379
Professional Enrollment ID
I20220810000056
Address ID
FL337099100ST5800XNXXX413
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,343 ANESTHESIOLOGY in FL

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Provider Addresses for SHRAVAN GUPTA (D.O.)

  • Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    MIAMI, FL 331361005

    Phone: (305) 585-5381

    Type: Location

  • 7603, Leather Fern Court, Pinellas County, Florida, 33782, United States

    PINELLAS PARK, FL 337824318

    Phone: (727) 771-3343

    Type: Mailing

  • 7895 SEMINOLE BLVD STE 101-102

    SEMINOLE, FL 337724891

    Phone: (727) 526-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $1,756.

Total Amount is formed as General ($1,756) + Research ($0) + Ownership ($0) = $1,756.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Abbott Laboratories ($614).

Total Amount

$1,756

General + Research + Ownership

Payments

42

Total payment records

General Amount

$1,756

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-08-10

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
I20220810000056IAnesthesiologyFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes16064$0
J1030Injection, methylprednisolone acetate, 40 mg8144$0
J1040Injection, methylprednisolone acetate, 80 mg6744$0
20552Injection of trigger points, 1-2 muscles4836$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level4238$0
View full utilization report →

Insurance plans in this area (ZIP 33136)

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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: 6305865379View full group profile
NameSpecialtyState
Physical Medicine And Rehabilitation, Sports MedicineFL

Reviews

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Frequently asked questions

Is there an official ID for SHRAVAN GUPTA (D.O.) in U.S. healthcare records?
The official identifier for SHRAVAN GUPTA (D.O.) is NPI 1679006738.
Is SHRAVAN GUPTA (D.O.) still an active registrant?
SHRAVAN GUPTA (D.O.) carries an active NPI according to the public dataset.
What expertise is attributed to SHRAVAN GUPTA (D.O.)?
SHRAVAN GUPTA (D.O.)'s specialty line reads Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SHRAVAN GUPTA (D.O.)?
Directory geography for SHRAVAN GUPTA (D.O.) centers on Miami, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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