SHASHIKANTH GANGU M.D.
NPI 1639581655
Pediatrics - Pediatric Critical Care Medicine in Tampa, FL

Q: What is Shashikanth Gangu's NPI number?

The NPI number for Shashikanth Gangu is 1639581655. It was assigned to this individual provider in the NPPES registry on May 26, 2014.

Q: What is Shashikanth Gangu's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Shashikanth Gangu was last updated on May 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 26, 2014PECOS Enrolled

3001 W DR MARTIN LUTHER KING JR BLVD FL 1, TAMPA, FL 33607(813) 357-0711 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Shashikanth Gangu M.d. NPPES

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

SHASHIKANTH GANGU M.D. (NPI 1639581655) is an individual pediatric critical care medicine provider in Tampa, Florida, licensed in Florida (ME131651) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639581655

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameSHASHIKANTH GANGUCredential: M.D.

Location Address3001 W DR MARTIN LUTHER KING JR BLVD FL 1Tampa, FL 33607-6307

Mailing Address1 Brookdale PlzBrooklyn, NY 11212-3139 · (718) 240-5893

Phone(813) 357-0711

Sole ProprietorYes

Enumeration DateMay 26, 2014

Last NPPES UpdateMay 1, 2019

✔ NPI 1639581655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in FL · ME131651

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

3001 W DR MARTIN LUTHER KING JR BLVD FL 1, Tampa, FL 33607

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shashikanth Gangu 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.

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.

DR. TRISHA PADMINI LARKIN M.D.

Pediatrics (Pediatric Hematology-Oncology)