ABHIJIT GUNDALE
NPI 1417435611
Otolaryngology - Plastic Surgery within the Head & Neck in Jacksonville, FL

Q: What is Abhijit Gundale's NPI number?

The NPI number for Abhijit Gundale is 1417435611. It was assigned to this individual provider in the NPPES registry on July 31, 2018.

Q: What is Abhijit Gundale's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Q: When was this NPI record last updated?

The NPPES record for Abhijit Gundale was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 July 31, 2018PECOS EnrolledAccepts Medicare Assignment

91.18/100

CMS Quality Rating

653 W 8TH ST, JACKSONVILLE, FL 32209(904) 383-1017 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2026, Sep 15, 2021, Jul 31, 2018 (3 updates tracked since 2018).

On this page

About Abhijit Gundale NPPES

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

ABHIJIT GUNDALE (NPI 1417435611) is an individual plastic surgery within the head & neck provider in Jacksonville, Florida, licensed in Oklahoma (38398) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1417435611

Entity TypeIndividualMale

Primary Taxonomy207YX0007X

Provider Legal NameABHIJIT GUNDALE

Location Address653 W 8TH STJacksonville, FL 32209-6511

Mailing Address653 W 8th StJacksonville, FL 32209-6511 · (904) 383-1017

Phone(904) 383-1017

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 31, 2018

Last NPPES UpdateApril 14, 20263 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1417435611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians

Taxonomy Code207YX0007X

License✔ Licensed in OK · 38398

Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

653 W 8TH ST, Jacksonville, FL 32209

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abhijit Gundale is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224426481

PECOS Enrollment IDI20250307003032

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 Reassignments

Medicare enrollment records show Abhijit Gundale reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Florida Jacksonville Physicians, Inc.

Same address

Internal Medicine

653 W 8TH ST, UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
Jacksonville, FL 32209

Reassigned Medicare billing, Florida enrollment
1,456 clinicians in this Medicare group

NPI 1144276452 (904) 244-3500

Mcalester Medical Services, LLC

879 mi

Internal Medicine

1 E CLARK BASS BLVD
Mcalester, OK 74501

Reassigned Medicare billing, Oklahoma enrollment
47 clinicians in this Medicare group

NPI 1154317998 (918) 421-6987

Mcalester Regional Health Center Authority

879 mi

Rural

1 E CLARK BASS BLVD
Mcalester, OK 74501

Reassigned Medicare billing, Oklahoma enrollment
106 clinicians in this Medicare group

NPI 1316940034 (918) 426-1800

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

88 services88 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

51 services45 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

31 services31 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

21 services19 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100001

Location655 W 8th StJacksonville, FL 32209 · Duval County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

79.27

Promoting Interoperability

100

Improvement Activities

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.

MICHAEL DAVID SCHWEITZER BARRIOS MD

Internal Medicine (Pulmonary Disease)

653 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 383-1014

MRS. BRITTENY WINBURN

Nurse Practitioner (Pediatrics)

653 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-3660

KELLY MARIE RUFF APRN

Nurse Practitioner

653 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-2061

UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC

Oral & Maxillofacial Surgery

653 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-2000

KIMBERLY GREENWOOD JOHNSON AUDIOLOGIST

Audiologist

653 W 8TH ST, UFJAX - DEPT. OF SURGERY/OTOLARYNGOLOGY
JACKSONVILLE, FL 32209

Duval County (904) 244-7463

ANGELA M MASSEY ARNP

Nurse Practitioner (Family)

653 W 8TH ST, UROLOGY DEPT. 2ND FLOOR
JACKSONVILLE, FL 32209

Duval County (904) 244-7340

DR. TARIQ ALMEREY MD, FACS

Surgery (Surgical Oncology)

653 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-9525

MS. SHANAI LASHAYLA DIXON MD

Student in an Organized Health Care Education/Training Program

653 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-3902

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 Abhijit Gundale's NPI number?

The NPI number for Abhijit Gundale is 1417435611. It was assigned to this individual provider in the NPPES registry on July 31, 2018.

Where is Abhijit Gundale located?

Abhijit Gundale practices at 653 W 8th St, Jacksonville, FL 32209. The listed phone number is (904) 383-1017.

What is Abhijit Gundale's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Abhijit Gundale enrolled in Medicare?

Yes. Abhijit Gundale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Abhijit Gundale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abhijit Gundale reassigns Medicare benefits to 3 organizations: University Of Florida Jacksonville Physicians, Inc. (Jacksonville, FL), Mcalester Medical Services, LLC (Mcalester, OK) and Mcalester Regional Health Center Authority (Mcalester, OK). Each 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 Abhijit Gundale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abhijit Gundale accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Abhijit Gundale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Abhijit Gundale affiliated with any hospitals?

According to CMS data, Abhijit Gundale is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Abhijit Gundale was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.