Adarsh K Gupta, D.O.
Individual provider Active NPI Obesity Medicine (Family Medicine) Physician · West Norriton, PA
NPI 1003896523 · NPPES record last updated Apr 19, 2023
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 20, 2026.
Key facts
- NPI
- 1003896523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obesity Medicine (Family Medicine) Physician 207QB0002X
- License
- OS016657 (PA)
- Practice address
- 2521 W Main St
West Norriton, PA 19403-3093 - Phone
- (215) 703-7747
- Fax
- (856) 249-9063
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB07327000 | NJ | MD | Obesity Medicine (Family Medicine) Physician |
| OS016657 | PA | MD | Obesity Medicine (Family Medicine) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MB07327000 | NJ | |
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | 25MB07327000 | NJ | |
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | OS016657 | PA | Yes |
Addresses
Primary practice location
2521 W Main St
West Norriton, PA 19403-3093
Mailing address
2521 W Main St
West Norriton, PA 19403-3093
Phone (215) 703-7747
Other practice location 1
42 Laurel Rd E
Udp #2100
Stratford, NJ 08084-1354
Phone (856) 566-7020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001546 | Medicaid | NJ |
Other providers in West Norriton, PA
- Divine Providence Village
- Diving Staffing Solutions LLC
- Morgan Fienman
- Daniela Figueroa
- Grow Together Homecare LLC
- Shannon Kelsey Hawke
- Christopher Wakaba Kanyugi
- Brittany M Lacy
- Tina D Lahr
- Colleen P Malason
All providers in West Norriton, PA · Obesity Medicine (Family Medicine) Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2023. 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.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.