Organization Active NPI

Bee Ridge Family Practice, Inc.

  • Multi-Specialty Clinic/Center
  • Sarasota, FL
National Provider Identifier
1023305174
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BEE RIDGE FAMILY PRACTICE, INC.
Practice address
4541 Bee Ridge Rd
Sarasota, FL 34233-2517
Phone
(941) 371-9355
Fax
(941) 379-8825
NPI assigned
Jul 8, 2011
Last updated
Aug 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Dr. Virind Dharysheel Gupta, M.D.NPI 1154436889
Title
MD/Owner
Phone
(941) 371-9355

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Primary Care Clinic/Center 261QP2300X
Pain Clinic/Center 261QP3300X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

4541 Bee Ridge Rd
Sarasota, FL 34233-2517

Mailing address

4541 Bee Ridge Rd
Sarasota, FL 34233-2517
Phone (941) 371-9355

Other identifiers 1

IdentifierTypeStateIssuer
064280100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110823000081 FL Part B Supplier - Clinic/Group Practice 1355511767 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0949375Bee Ridge Family Practice4541 Bee Ridge Road, Sarasota, FL 34233Certificate of waiverSep 20, 2027

National Provider Directory

National Provider Directory

Locations

4541 Bee Ridge Rd
Sarasota, FL 34233
Phone (941) 371-9355

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": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1023305174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332517",
            "telephone_number": "941-371-9355",
            "fax_number": "941-379-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332517",
            "telephone_number": "941-371-9355",
            "fax_number": "941-379-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEE RIDGE FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "VIRIND",
        "authorized_official_middle_name": "DHARYSHEEL",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "941-371-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064280100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.