Organization Active NPI

Anil K Gupta M D PLC

  • Otolaryngology Physician
  • Royal Oak, MI
National Provider Identifier
1023257193
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ANIL K GUPTA M D PLC
Practice address
32121 Woodward Ave
Ste 203
Royal Oak, MI 48073-6237
Phone
(248) 549-9035
Fax
(248) 549-9407
NPI assigned
Feb 13, 2009
Last updated
May 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Dr. Anil K Gupta, M.D.NPI 1487635801
Title
Member
Phone
(248) 549-9035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary
Hearing Aid Equipment 332S00000X

Addresses

Primary practice location

32121 Woodward Ave
Ste 203
Royal Oak, MI 48073-6237

Mailing address

2798 Creek Rd
Troy, MI 48098
Phone (248) 641-8033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090318000388 MI Part B Supplier - Clinic/Group Practice 4880751874 Receives reassigned benefits from 1 practitioner
Practice locations: Royal Oak, MI

National Provider Directory

National Provider Directory

Locations

32121 Woodward Ave
Ste 203
Royal Oak, MI 48073
Phone (248) 549-6060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1023257193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2798 CREEK RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48098",
            "telephone_number": "248-641-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32121 WOODWARD AVE",
            "address_2": "STE 203",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736237",
            "telephone_number": "248-549-9035",
            "fax_number": "248-549-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIL K GUPTA M D PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-549-9035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.