RAGHAV GUPTA MD
NPI 1629118740
Internal Medicine - Interventional Cardiology in Jacksonville, FL

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment
836 PRUDENTIAL DR STE 1700, JACKSONVILLE, FL 32207(904) 398-0125(904) 398-1832 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 22, 2022, Jun 6, 2022, Nov 9, 2020 and 2 more (5 updates tracked since 2018).

About Raghav Gupta Md NPPES

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

RAGHAV GUPTA MD (NPI 1629118740) is an individual interventional cardiology provider in Jacksonville, Florida, licensed in Florida (ME158258) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1629118740
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameRAGHAV GUPTACredential: MD
Location Address836 PRUDENTIAL DR STE 1700Jacksonville, FL 32207-8344
Mailing AddressPo Box 746652Atlanta, GA 30374-6652 · (904) 720-0599 · Fax (904) 376-4036
Fax(904) 398-1832
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 7, 2007
Last NPPES UpdateDecember 22, 20225 updates tracked since enumeration
NPPES CertifiedDecember 22, 2022
NPI 1629118740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses Licensed in FL · ME158258 Licensed in OK · 25029
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License ME158258 (FL)
836 PRUDENTIAL DR STE 1700, Jacksonville, FL 32207

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Raghav Gupta Md 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 ID4981847183
PECOS Enrollment IDI20230105001159
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.

Areas of Expertise CMS Part B claims 29

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
488 services389 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
453 services204 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
424 services421 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
228 services209 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
225 services216 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
155 services155 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Internal Medicine (Interventional Cardiology)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Nurse Practitioner (Acute Care)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Internal Medicine (Interventional Cardiology)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Internal Medicine (Clinical Cardiac Electrophysiology)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Internal Medicine (Interventional Cardiology)
836 PRUDENTIAL DR STE 1700, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32207
Nurse Practitioner
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Nurse Practitioner
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207
Internal Medicine (Clinical Cardiac Electrophysiology)
836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207

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 Raghav Gupta's NPI number?

The NPI number for Raghav Gupta is 1629118740. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Raghav Gupta located?

Raghav Gupta practices at 836 Prudential Dr Ste 1700, Jacksonville, FL 32207. The listed phone number is (904) 398-0125.

What is Raghav Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Raghav Gupta enrolled in Medicare?

Yes. Raghav Gupta 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.

What insurance does Raghav Gupta accept?

Health plans from AvMed, Blue Cross and Blue Shield of Oklahoma, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Raghav Gupta 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 Raghav Gupta affiliated with any hospitals?

According to CMS data, Raghav Gupta is affiliated with Ascension St Vincent's Riverside, Baptist Health Medical Center - Jacksonville, Baptist Medical Center Beaches and Baptist Medical Center - Nassau.

When was this NPI record last updated?

The NPPES record for Raghav Gupta was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.