DR. SUDEEP GOPAL CHAKRAVORTY (MD) – Psychiatry Physician, NPI 1790769123

DR. SUDEEP GOPAL CHAKRAVORTY (MD) is a healthcare provider. based in Wexford, Pennsylvania. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. MD 062000-L (PA). The NPI Number for DR. SUDEEP GOPAL CHAKRAVORTY (MD) is 1790769123

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUDEEP GOPAL CHAKRAVORTY (MD)
NPI
1790769123
Phone
(724) 934-0302
Address
10008 VALLEYVIEW CT
Enumeration Date
30 November 2005
Last Update Date
9 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7249335100
Graduation Year
1983 (43 years ago)
PAC ID
1557362068
Group Practice PAC ID
2769914811
Professional Enrollment ID
I20070126000171
Address ID
PA150907387WE12450HWYX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,871 PSYCHIATRY in PA

Provider Addresses for DR. SUDEEP GOPAL CHAKRAVORTY (MD)

  • 10008 VALLEYVIEW CT

    WEXFORD, PA 150907101

    Phone: (724) 934-0302

    Fax: (724) 934-0302

    Mailing address matches the actual address.

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: 2007-01-26

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
I20070126000171IPsychiatryPATBD

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 minutes14538$0
99214Established patient office or other outpatient visit, 30-39 minutes9225$0
View full utilization report →

Insurance plans in this area (ZIP 15090)

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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: 2769914811View full group profile
NameSpecialtyState
Clinical Social WorkerPA
Mental Health CounselorPA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

Does DR. SUDEEP GOPAL CHAKRAVORTY (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. SUDEEP GOPAL CHAKRAVORTY (MD) uses 1790769123.
Does the file indicate DR. SUDEEP GOPAL CHAKRAVORTY (MD) is practicing under active NPI?
Directory data currently reports DR. SUDEEP GOPAL CHAKRAVORTY (MD) as active.
What is DR. SUDEEP GOPAL CHAKRAVORTY (MD)'s specialty?
The listing groups DR. SUDEEP GOPAL CHAKRAVORTY (MD) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does DR. SUDEEP GOPAL CHAKRAVORTY (MD) list a practice location?
Patients near Wexford, Pennsylvania may find DR. SUDEEP GOPAL CHAKRAVORTY (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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