RAJESH GOPAL (M.D.) – Internal Medicine Physician, NPI 1003878869
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,368 INTERNAL MEDICINE in FL
Provider Addresses for RAJESH GOPAL (M.D.)
PO BOX 45443
SALT LAKE CITY, UT 841450443
Phone: (904) 202-1032
Fax: (904) 376-4107
Type: Mailing
PO BOX 746638
ATLANTA, GA 303746638
Phone: (904) 202-1032
Fax: (904) 376-4107
Type: Mailing
14534 OLD SAINT AUGUSTINE RD STE 3120
JACKSONVILLE, FL 322582617
Phone: (904) 880-8388
Fax: (904) 390-7482
Type: Location
Brown Fertility, 14540, Old Saint Augustine Road, Jacksonville, Duval County, Florida, 32258, United States
SUITE 2307
JACKSONVILLE, FL 322587418
Phone: (904) 880-8388
Fax: (904) 376-4107
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 168 Open Payments records for all available years, with a total value of $3,007.
Total Amount is formed as General ($3,007) + Research ($0) + Ownership ($0) = $3,007.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Lilly USA, LLC ($506).
Total Amount
$3,007
General + Research + Ownership
Payments
168
Total payment records
General Amount
$3,007
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $506 |
| Novo Nordisk Inc | $468 |
| AstraZeneca Pharmaceuticals LP | $175 |
| Abbott Laboratories | $172 |
| Amgen Inc. | $165 |
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: 2014-08-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140821002402 | I | Internal Medicine | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 852 | 360 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 252 | 252 | $0 |
| 83036 | Hemoglobin a1c level | 209 | 129 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 44 | 44 | $0 |
| G0008 | Administration of influenza virus vaccine | 44 | 44 | $0 |
Insurance plans in this area (ZIP 84145)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| H O S P I T A L I S T | UT | |
| - | UT | |
| Hospitalist, Internal Medicine | VA | |
| Internal Medicine | GA | |
| Family Practice | UT | |
| Nurse Practitioner | GA | |
| Hospitalist, Internal Medicine | FL | |
| H O S P I T A L I S T | UT | |
| R H E U M A T O L O G Y | UT |
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