Active NPI
Nitin Gupta, M.D.
- Gastroenterology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 078939
- Practice address
- 980 Johnson Fy Rd NE Ste 820
Atlanta, GA 30342-1608 - Phone
- (404) 252-9307
- Fax
- (404) 252-5839
- NPI assigned
- Jun 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 22586 | MS | |
| Gastroenterology Physician | 207RG0100X | 249386 | MA | |
| Gastroenterology Physician | 207RG0100X | 22586 | MS | |
| Gastroenterology Physician | 207RG0100X | 078939 | GA | Primary |
Addresses
Primary practice location
980 Johnson Fy Rd NE Ste 820
Atlanta, GA 30342-1608
Mailing address
1001 Summit Blvd Ste B
Brookhaven, GA 30319-6408
Phone (770) 989-1668
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02959257 | Medicaid | MS | |
| P01402449 | Other | MS | RR MEDICARE |
| 003203822A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Vanderbilt University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
980 Johnson Ferry Rd
Suite 820
Atlanta, GA 30342-1608
Phone (404) 252-9307
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.39 of 100
- Quality
- 44.91
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.38
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 91 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 84 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078939 | GA | MD | Gastroenterology Physician |
| 249386 | MA | MD | Gastroenterology Physician |
| 22586 | MS | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aga, LLC | Gastroenterology | Current | Accepting new patients |
| Aga Professional Services, LLC | Gastroenterology | Current | Accepting new patients |
Locations
2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165
488 Kennesaw Ave NW
Ste 150
Marietta, GA 30060
Phone (770) 427-3075
488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075
980 Johnson Fy Rd NE
Ste 820
Sandy Springs, GA 30342
Phone (404) 252-9307
5671 Peachtree Dunwoody Rd
Ste 600
Sandy Springs, GA 30342
Phone (404) 252-9307
5671 Peachtree Dunwoody Rd
Ste 511
Sandy Springs, GA 30342
4275 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 475-1606
Networks
- FL HMO
- TN PPO C-SNP
- AL HMO
- AL HMO D-SNP
- FL HMO C-SNP
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- FL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- TN PPO
Interoperability endpoints
- nitin.gupta@ud.eclinicaldirectplus.com
- https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1063799120
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1124064118
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1013113364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SUMMIT BLVD STE B",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303196408",
"telephone_number": "770-989-1668",
"fax_number": "678-388-1759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 JOHNSON FY RD NE STE 820",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421608",
"telephone_number": "404-252-9307",
"fax_number": "404-252-5839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "NITIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "22586",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "249386",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MS",
"license": "22586",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "078939",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02959257",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01402449",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003203822A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.