SHASHIKANTH GANGU M.D.
NPI 1639581655
Pediatrics - Pediatric Critical Care Medicine in Tampa, FL
NPI Status: Active since May 26, 2014
Contact Information
3001 W DR MARTIN LUTHER KING JR BLVD FL 1
TAMPA, FL
ZIP 33607
Phone: (813) 357-0711
- Individual
- Male
- Pediatrics
- Pediatric Critical Care Medicine
- PECOS Enrolled
About SHASHIKANTH GANGU
This page provides the complete NPI Profile along with additional information for Shashikanth Gangu, a pediatrician established in Tampa, Florida with a medical specialization in Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1639581655 assigned on May 2014. The practitioner's primary taxonomy code is 2080P0203X with license number ME131651 (FL). The provider is registered as an individual and his NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1639581655
- Provider Name
- SHASHIKANTH GANGU M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607
- Location Phone
- (813) 357-0711
- Mailing Address
- 1 BROOKDALE PLZ BROOKLYN, NY 11212
- Mailing Phone
- (718) 240-5893
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-26-2014
- Last Update Date
- 05-01-2019
- Code Navigator
A pediatrician like Shashikanth Gangu is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Critical Care Medicine
- Taxonomy Code
- 2080P0203X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME131651
- License State
- FL
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medicare Participation & PECOS Enrollment Status
Shashikanth Gangu is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 5 | 8 | 1 | 6 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 10 | 8 | 2 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 0 + 8 + 2 + 6 + 1 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1639581655 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801144357 | DR. LUIZ ANTONIO LIARTE MARCONCINI MD Individual | Internal Medicine (Hematology & Oncology) | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 321-6589 |
| 1568989317 | MS. KELLY LEE THATCHER ARNP-C Individual | Nurse Practitioner (Primary Care) | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 870-4619 |
| 1346710159 | MS. TINA S CONNER APRN-C Individual | Nurse Practitioner (Primary Care) | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 870-4619 |
| 1437293677 | MS. PAMELA BREMMER ARNP-C Individual | Nurse Practitioner | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 554-8384 |
| 1801388830 | MS. JOYA MICHELLE SMITH APRN-C Individual | Nurse Practitioner (Primary Care) | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 870-4619 |
| 1740452150 | DR. JULIA MERCER NIEBAUER MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 870-4619 |
| 1669043329 | BAYCARE MEDICAL GROUP INC Organization | Internal Medicine (Hematology & Oncology) | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 443-8143 |
| 1093125403 | DR. TRISHA PADMINI LARKIN M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 321-6820 |
| 1194111088 | DR. DIANA W LONE D.O. Individual | Pediatrics (Pediatric Hematology-Oncology) | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 321-6820 |
| 1548604374 | DR. SALAR SYED BADRUDDIN M.D. Individual | Pediatrics (Pediatric Critical Care Medicine) | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 870-4619 |
| 1659344463 | DR. DON E ESLIN MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 321-6820 |
| 1750831327 | MRS. KARI MICHELLE HYOTALA APRN-C Individual | Nurse Practitioner | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 870-4619 |
| 1285913954 | MS. SUE HELLEN COLTRAIN APRN-C Individual | Nurse Practitioner | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 870-4619 |
| 1427510759 | MS. ANDREA M NORIEGA PA-C Individual | Physician Assistant (Surgical) | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 554-8384 |
| 1578081543 | MS. TAYLOR ANN KRESS PA-C Individual | Physician Assistant (Medical) | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 870-4619 |
| 1982174876 | MS. KATHERINE MARTINEZ SAMS PA-C Individual | Physician Assistant (Medical) | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 870-4619 |
| 1841485091 | KATHRYN N GARNER PA-C Individual | Physician Assistant (Surgical) | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 357-0520 |
| 1184158719 | MS. KELLY W. PHILLIPS ARNP Individual | Nurse Practitioner (Pediatrics) | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 870-4619 |
| 1316320963 | MRS. SYEETA JOYCE MCKELVIE PA-C Individual | Physician Assistant | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 870-4619 |
| 1629570403 | BETHANY STRIPLAND CPNP Individual | Nurse Practitioner (Pediatrics) | 3001 W DR MARTIN LUTHER KING JR BLVD FL 1 TAMPA, FL 33607 (813) 554-8384 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639581655, enumerated in the NPI registry as an "individual" on May 26, 2014
The provider is located at 3001 W Dr Martin Luther King Jr Blvd Fl 1 Tampa, Fl 33607 and the phone number is (813) 357-0711
The provider's speciality is Pediatrics with taxonomy code 2080P0203X with a focus in Pediatric Critical Care Medicine
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 26, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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