Active NPI
Vinita Gupta, M.D.
- Pulmonary Disease Physician
- Hudson, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 1-197319
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01648246 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070419000479 | NY | Practitioner - Pulmonary Disease | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-197319 | NY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin County Sleep Center LLC | Sleep Medicine | Current | Accepting new patients |
| Twin County Medical Associates, PC | Pulmonary Disease | Past | Accepting new patients |
| Green Manor Dialysis Center LLC | Past | 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
- 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.
-
- Sleep Medicine (Internal Medicine) Physician
- Ghent, NY
- NPI 1912421918
NY, Sleep Medicine
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- East Greenbush, NY
- NPI 1760836126
-
- Internal Medicine Physician
- Hudson, NY
- NPI 1376596304
Pulmonary Disease
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.