AMITAVA MICHAEL DASGUPTA (MD) – Family Medicine Physician, NPI 1144586983

AMITAVA MICHAEL DASGUPTA (MD) is a healthcare provider. based in Columbia, Missouri. specializing in FAMILY PRACTICE, GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 57201 (KY). The NPI Number for AMITAVA MICHAEL DASGUPTA (MD) is 1144586983

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
AMITAVA MICHAEL DASGUPTA (MD)
NPI
1144586983
Phone
Not provided
Address
551 EAST SOUTHAMPTON DRIVE
Enumeration Date
5 April 2012
Last Update Date
9 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8596556100
Graduation Year
2011 (15 years ago)
PAC ID
2860709870
Group Practice PAC ID
9638089642
Professional Enrollment ID
I20221217000308
Address ID
KY410113313CO1401XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

Provider Addresses for AMITAVA MICHAEL DASGUPTA (MD)

  • 551 EAST SOUTHAMPTON DRIVE

    COLUMBIA, MO 65201

    Phone:

    Type: Mailing

  • 551 E SOUTHAMPTON DR

    COLUMBIA, MO 652014236

    Phone: (573) 884-7733

    Fax: (573) 882-6228

    Type: Location

  • 215 E 11TH ST

    NEWPORT, KY 410712203

    Phone: (859) 655-6100

    Type: Mailing

  • 1401 MADISON AVE

    COVINGTON, KY 410113313

    Phone: (859) 655-6100

    Fax: (573) 882-6228

    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: 2022-12-17

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
I20221217000308IFamily PracticeKYTBD

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 65201)

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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: 9638089642View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerOH
-KY
Family PracticeKY
Family PracticeKY
Mental Health CounselorKY

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to AMITAVA MICHAEL DASGUPTA (MD)?
The federal identifier for AMITAVA MICHAEL DASGUPTA (MD) is NPI 1144586983.
Does this profile mean AMITAVA MICHAEL DASGUPTA (MD) is currently active?
Yes — AMITAVA MICHAEL DASGUPTA (MD) appears active in the national provider directory.
Does AMITAVA MICHAEL DASGUPTA (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for AMITAVA MICHAEL DASGUPTA (MD). Clinical services aligned with this taxonomy classification.
What location shows for AMITAVA MICHAEL DASGUPTA (MD)?
We surface Columbia, Missouri for AMITAVA MICHAEL DASGUPTA (MD) based on available NPPES addresses.
What if Columbia, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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