Individual provider Active NPI

Vinita Gupta, M.D.

  • Pulmonary Disease Physician
  • Hudson, NY
National Provider Identifier
1013963354
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
1-197319 Issued in NY
Practice address
71 Prospect Ave Ste 210
Hudson, NY 12534-2907
Phone
(518) 828-2565
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 197319 NY
Pulmonary Disease Physician 207RP1001X 1-197319 NY Primary

Addresses

Primary practice location

71 Prospect Ave Ste 210
Hudson, NY 12534-2907

Mailing address

71 Prospect Ave Ste 210
Hudson, NY 12534-2907
Phone (518) 828-2566

Other practice location 1

2 Sherman Potts Dr Ste 201
Ghent, NY 12075-3216
Phone (518) 828-2565

Other identifiers 1

IdentifierTypeStateIssuer
01648246MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070419000479 NY Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3678480324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Sherman Potts Dr
Suite 201
Ghent, NY 12075-3216
Phone (518) 633-4464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1-197319NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Twin County Sleep Center LLC Sleep Medicine CurrentSince Aug 21, 2017 Accepting new patients
Twin County Medical Associates, PC Pulmonary Disease Past Accepting new patients
Green Manor Dialysis Center LLC PastSince Jun 16, 2002 Accepting new patients

Locations

2 Sherman Potts Dr
Ste 201
Ghent, NY 12075
Phone (518) 633-4464

2 Sherman Potts Dr
Ghent, NY 12075
Phone (518) 314-0889

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFFBBD/Endpoint/EFFBBD

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013963354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 PROSPECT AVE STE 210",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342907",
            "telephone_number": "518-828-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 PROSPECT AVE STE 210",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342907",
            "telephone_number": "518-828-2565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Sherman Potts Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Ghent",
            "state": "NY",
            "postal_code": "120753216",
            "country_code": "US",
            "telephone_number": "518-828-2565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "VINITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "197319",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "1-197319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01648246",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.