SUDHA GUPTA MD
NPI 1205890118
Pediatrics in Ft Lauderdale, FL

Q: What is Sudha Gupta's NPI number?

The NPI number for Sudha Gupta is 1205890118. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Q: What is Sudha Gupta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sudha Gupta was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 17, 2006PECOS Enrolled

200 NW 7TH AVE, FT LAUDERDALE, FL 33311(954) 759-6600(954) 759-6665 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2024, Mar 17, 2023, Jul 26, 2022 (3 updates tracked since 2022).

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About Sudha Gupta Md NPPES

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

SUDHA GUPTA MD (NPI 1205890118) is an individual pediatrics provider in Ft Lauderdale, Florida, licensed in Florida (ME47741) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pompano Beach.

NPPES Registry Identity

NPI1205890118

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSUDHA GUPTACredential: MD

Location Address200 NW 7TH AVEFt Lauderdale, FL 33311

Mailing Address1700 Nw 49th St Ste 125Fort Lauderdale, FL 33309-3750 · (954) 759-6600 · Fax (954) 759-6665

Phone(954) 759-6600

Fax(954) 759-6665

Sole ProprietorNo

Enumeration DateApril 17, 2006

Last NPPES UpdateApril 1, 20243 updates tracked since enumeration

NPPES CertifiedApril 1, 2024

✔ NPI 1205890118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME47741

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.

200 NW 7TH AVE, Ft Lauderdale, FL 33311

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Secondary Practice Location 1

Location 1601 W Atlantic BlvdPompano Beach, FL 33060-5916 · Phone (954) 785-4273

Other Identifiers 1

Medicaid045147900FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sudha Gupta Md 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 Sudha Gupta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Broward Hospital District

Same address

Family Medicine

200 NW 7TH AVENUE
Fort Lauderdale, FL 33311

Reassigned Medicare billing, Florida enrollment
252 clinicians in this Medicare group

NPI 1700912797 (954) 759-6988

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 33311 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.

MARIA MAZZUCCO DMD

Dentist