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MUDIT DUTTA
NPI 1487304853
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since March 28, 2022PECOS Enrolled
1600 SW ARCHER RD RM 4102, GAINESVILLE, FL 32610(352) 265-0239 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mudit Dutta NPPES

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

MUDIT DUTTA (NPI 1487304853) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487304853
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMUDIT DUTTA
Location Address1600 SW ARCHER RD RM 4102Gainesville, FL 32610-0277
Mailing Address1600 Sw Archer Rd Rm 4102Gainesville, FL 32610-0277
Phone(352) 265-0239
Sole ProprietorNo
Enumeration DateMarch 28, 2022
NPPES CertifiedJuly 8, 2021
✔ NPI 1487304853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1600 SW ARCHER RD RM 4102, Gainesville, FL 32610
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mudit Dutta 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.

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.

ALEKSANDRA KAPLINA MD
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD RM 4102
GAINESVILLE, FL 32610
Alachua County (352) 265-0239
ELIZABETH ASHLEY BURNS MD/MPH
Internal Medicine (Hematology & Oncology)
1600 SW ARCHER RD RM 4102
GAINESVILLE, FL 32610
Alachua County (352) 265-0239
MATTHEW PAUL GIANSIRACUSA DO
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD RM 4102
GAINESVILLE, FL 32610
Alachua County (813) 476-9046
BISHAL PAUDEL MD
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD RM 4102
GAINESVILLE, FL 32610
Alachua County (352) 265-0239
KAYLA SWIATEK
Ophthalmology
1600 SW ARCHER RD RM 4102
GAINESVILLE, FL 32610
Alachua County (352) 265-0239
JACQUELINE THIEN HA NGUYEN
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD RM 4102
GAINESVILLE, FL 32610
Alachua County (352) 265-0239
DR. DIVYA CHOPRA MD
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD RM 4102
GAINESVILLE, FL 32610
Alachua County (352) 265-0239
ALAN WANG DO
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD RM 4102
GAINESVILLE, FL 32610
Alachua County (352) 265-0239

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 Mudit Dutta's NPI number?

The NPI number for Mudit Dutta is 1487304853. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Mudit Dutta located?

Mudit Dutta practices at 1600 SW Archer Rd Rm 4102, Gainesville, FL 32610. The listed phone number is (352) 265-0239.

What is Mudit Dutta's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mudit Dutta enrolled in Medicare?

Yes. Mudit Dutta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mudit Dutta was last updated on March 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.