DR. HEMANT P GUNDAVDA M.D.
NPI 1053386284
Pediatrics in Vero Beach, FL

Active since February 21, 2006PECOS Enrolled
1545 9TH ST SW, VERO BEACH, FL 32962(772) 257-8224(772) 213-3157 Get Directions Write a Review

NPPES record last updated: February 20, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Hemant P Gundavda M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HEMANT P GUNDAVDA M.D. (NPI 1053386284) is an individual pediatrics provider in Vero Beach, Florida, licensed in Florida (ME127710) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053386284
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. HEMANT P GUNDAVDACredential: M.D.
Location Address1545 9TH ST SWVero Beach, FL 32962-4312
Mailing Address1545 9th St SwVero Beach, FL 32962-4312 · (772) 257-8224 · Fax (772) 213-3157
Fax(772) 213-3157
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateFebruary 20, 2018
✔ NPI 1053386284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME127710
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1545 9TH ST SW, Vero Beach, FL 32962

Other Identifiers 1

Medicaid017178700FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hemant P Gundavda M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Hemant Gundavda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
501 S 54TH ST
Philadelphia, PA 19143
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Public Health Management Corporation
  • 100 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32962 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1545 9TH ST SW
VERO BEACH, FL 32962
Pediatrics
1545 9TH ST SW
VERO BEACH, FL 32962
Psychiatry & Neurology (Psychiatry)
1545 9TH ST SW
VERO BEACH, FL 32962
Counselor (Mental Health)
1545 9TH ST SW
VERO BEACH, FL 32962
Dentist (General Practice)
1545 9TH ST SW
VERO BEACH, FL 32962
Counselor (Mental Health)
1545 9TH ST SW
VERO BEACH, FL 32962
Dentist (General Practice)
1545 9TH ST SW
VERO BEACH, FL 32962
Nurse Practitioner (Family)
1545 9TH ST SW
VERO BEACH, FL 32962

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hemant Gundavda's NPI number?

The NPI number for Hemant Gundavda is 1053386284. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Hemant Gundavda located?

Hemant Gundavda practices at 1545 9th St SW, Vero Beach, FL 32962. The listed phone number is (772) 257-8224.

What is Hemant Gundavda's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Hemant Gundavda enrolled in Medicare?

Yes. Hemant Gundavda is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hemant Gundavda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hemant Gundavda reassigns Medicare benefits to Public Health Mangement Corporation (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hemant Gundavda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hemant Gundavda was last updated on February 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.