Shivinder Narwal
Pediatric Gastroenterology · Tampa, FLNPI 1184619488
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $7,297 of the $8,490 with a category attached, or 86.0%. It is spread thinly across 28 manufacturers, the largest accounting for just 23.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $3,380 and has fallen 57.7% since, to $1,429 in 2025.
Across 288 payments — averaging $29.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sanofi$2K
- AbbVie$1K
- Vivus LLC$736
- Regeneron Healthcare Solutions, Inc.$637
- Neuraxis, Inc.$614
- QOL Medical, LLC$583
- plus $3K from 22 others
What the payments were for
- Consulting fees$1,15614%
- Food & beverage$7,29786%
- Education$370%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Sanofi | 20 | $2,018 |
| AbbVie(2 entities) | 42 | $1,228 |
| Vivus LLC | 33 | $736 |
| Regeneron Healthcare Solutions, Inc. | 25 | $637 |
| Neuraxis, Inc. | 6 | $614 |
| QOL Medical, LLC | 28 | $583 |
| Nestle Healthcare Nutrition Inc. | 38 | $483 |
| Aimmune Therapeutics, Inc. | 34 | $466 |
| Takeda Pharmaceuticals U.S.A., Inc. | 14 | $330 |
| Evoke Pharma, Inc. | 5 | $280 |
| AstraZeneca | 2 | $194 |
| Regeneron | 2 | $183 |
| Alcresta Therapeutics, Inc. | 6 | $132 |
| Pharming Healthcare, Inc. | 5 | $109 |
| Ironwood Pharmaceuticals, Inc | 5 | $105 |
| Phadia US Inc. | 5 | $80 |
| Ipsen Biopharmaceuticals, Inc | 2 | $58 |
| Sandoz | 2 | $35 |
| Coloplast | 1 | $34 |
| Mirum Pharmaceuticals, Inc. | 1 | $33 |
| Soleno Therapeutics, Inc. | 2 | $31 |
| Johnson & Johnson | 1 | $27 |
| Organon | 1 | $23 |
| Travere Therapeutics, Inc. | 4 | $21 |
| Gilead | 1 | $18 |
| Aytu Biopharma, Inc. | 1 | $16 |
| Capsovision, Inc. | 1 | $15 |
| Romark Laboratories, LC | 1 | $1 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$8,490 in reported general payments places this provider in the 85th percentile of 128 pediatric gastroenterology providers in Florida.
Other pediatric gastroenterology in Tampa
- Thiru ArasuTampa$6K
- Eduardo BeltroyTampa$4K
- Rosa CuencaTampa$2K
- Yamen SmadiOrlando$593K
- Regino Gonzalez-PeraltaOrlando$285K
- Akash PandeyOrlando$99K
- Shaista SafderOrlando$80K
- Alisa Muniz CrimMiami$50K
- Aymin DelgadoNaples$45K
- Sara KarjooSt Petersburg$43K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.