1. Home
  2. Directory
  3. Florida
  4. Tarpon Springs
  5. Internal Medicine
  6. NPI Profile

DR. SHILPA D'CUNHA M.D
NPI 1679537153
Internal Medicine in Tarpon Springs, FL

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
301 S DISSTON AVE, PINELLAS COUNTY HEALTH DEPT, TARPON SPRINGS, FL 34689(727) 942-5457(727) 942-5467 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Shilpa D'cunha M.d NPPES

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

DR. SHILPA D'CUNHA M.D (NPI 1679537153) is an individual internal medicine provider in Tarpon Springs, Florida, licensed in Florida (ME 90916) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in St Petersburg, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1679537153
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHILPA D'CUNHACredential: M.D
Location Address301 S DISSTON AVE, PINELLAS COUNTY HEALTH DEPTTarpon Springs, FL 34689-4411
Mailing Address1245 Kings Way LnTarpon Springs, FL 34688-7659 · (727) 934-9383
Phone(727) 942-5457
Fax(727) 942-5467
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateApril 13, 2006
Last NPPES UpdateJanuary 13, 2023
NPPES CertifiedJanuary 13, 2023
✔ NPI 1679537153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME 90916
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
301 S DISSTON AVE, Tarpon Springs, FL 34689
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Shilpa Pratap M.d

Secondary Practice Location 1

Location 13745 33rd St NSt Petersburg, FL 33713-1506 · Phone (727) 525-0006 · Fax (727) 521-3694

Other Identifiers 1

Medicaid274717100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Dr. Shilpa D'cunha M.d 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 ID2769647296
PECOS Enrollment IDI20120706000172
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 Shilpa D'cunha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baycare Medical Group, Inc.
12 mi
General Practice
2995 DREW ST FL 2
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida enrollment
  • 2,009 clinicians in this Medicare group
NPI 1043269871 (727) 281-9065

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

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.
81 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34689 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDNA FLORES MD
Pediatrics
301 S DISSTON AVE
TARPON SPRINGS, FL 34689
Pinellas County (727) 944-3828

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 Shilpa D'cunha's NPI number?

The NPI number for Shilpa D'cunha is 1679537153. It was assigned to this individual provider in the NPPES registry on April 13, 2006. The provider is also known as Mrs. Shilpa Pratap M.D.

Where is Shilpa D'cunha located?

Shilpa D'cunha practices at 301 S Disston Ave Pinellas County Health Dept, Tarpon Springs, FL 34689. The listed phone number is (727) 942-5457.

What is Shilpa D'cunha's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shilpa D'cunha enrolled in Medicare?

Yes. Shilpa D'cunha 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 organization bills Medicare for Shilpa D'cunha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shilpa D'cunha reassigns Medicare benefits to Baycare Medical Group, Inc. (Clearwater, FL). The 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 Shilpa D'cunha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shilpa D'cunha accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Shilpa D'cunha 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.

When was this NPI record last updated?

The NPPES record for Shilpa D'cunha was last updated on January 13, 2023. 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.