Ashok K Gupta, MD
Individual provider Active NPI Internal Medicine Physician · Eaton Rapids, MI
NPI 1003886565 · NPPES record last updated Oct 6, 2010
Key facts
- NPI
- 1003886565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- AG048680 (MI)
- Practice address
- 101 E Spicerville Hwy
Ste 300
Eaton Rapids, MI 48827-1919 - Phone
- (517) 663-9469
- Fax
- (517) 663-9470
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Center for Sleep Disorders-Lansing PLC
Practice addresses (Care Compare)
3937 Patient Care Dr
Suite 102
Lansing, MI 48911-4287
Phone (517) 887-6733
Hospital & facility affiliations
- Eaton Rapids Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Eaton Rapids Medical Center |
Hospital | Corporate Director | Oct 1, 2007 |
| Eaton Rapids Medical Center |
Hospital | Corporate Director | Oct 1, 2007 |
| Springport Medical Clinic |
Rural health clinic | Corporate Director | Oct 1, 2002 |
| Eaton Rapids Medical Center Family Practice |
Rural health clinic | Corporate Director | Oct 1, 2002 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040302000553 | MI | Practitioner - Internal Medicine |
8729975040 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG048680 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eaton Rapids Medical Center | Current | Accepting new patients | |
| Eaton Rapids Medical Center | Current |
Accepting new patients | |
| Eaton Rapids Medical Center | Current |
Accepting new patients | |
| Thomas a. Kelly D.O. P.C. | Past | Accepting new patients | |
| McLaren Greater Lansing | Internal Medicine | Past | Accepting new patients |
Locations
1500 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-2671
400 E Main St
#200
Springport, MI 49284
Phone (517) 857-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | AG048680 | MI | Yes |
Addresses
Primary practice location
101 E Spicerville Hwy
Ste 300
Eaton Rapids, MI 48827-1919
Mailing address
101 E Spicerville Hwy
PO Box 521
Eaton Rapids, MI 48827-1919
Phone (517) 663-9469
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 239397 | Other | MI | MCLAREN |
| 0400004 | Other | MI | PHP |
| 1102300212 | Other | MI | BLUE CROSS BLUE SHIELD |
| 101833420 | Medicaid | MI |
Other providers in Eaton Rapids, MI
- John G Fata
- Bradley J Garrett
- Stacy Gatz
- Adelaida Gonzales
- Vickie L Gregory
- Erin Carol Hackney
- Hammer Family Group LLC
- Logan Haney
- Paul D Hankenson
- Molly K Hemingway
All providers in Eaton Rapids, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.