Individual provider Active NPI

Ashwin K Gupta, PA

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1033766480
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA060922 Issued in PA
Practice address
3801 Filbert St.
Medical Arts Building 1St FL
Philadelphia, PA 19104-2640
Phone
(215) 662-9908
Fax
(215) 243-4658
NPI assigned
Aug 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00546200 NJ
Physician Assistant 363A00000X MA060922 PA Primary

Addresses

Primary practice location

3801 Filbert St.
Medical Arts Building 1St FL
Philadelphia, PA 19104-2640

Mailing address

3801 Filbert St.
Medical Arts Building 1St FL
Philadelphia, PA 19104-2640
Phone (215) 662-9908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220308001378 PA Practitioner - Physician Assistant 6406240431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 662-6932

3400 Civic Ctr Blvd 1St Floor W PA
Mycobacterial Clinic
Philadelphia, PA 19104-5161
Phone (215) 662-6932

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-6932

3550 Market St
FL 2
Philadelphia, PA 19104-3366
Phone (215) 662-9908

3600 Civic Ctr Blvd
Philadelphia, PA 19104

3801 Filbert St Mab 1St FLR
Infectious Disease PPMC
Philadelphia, PA 19104-2640
Phone (215) 662-9908

51 N 39TH Street 3910 BLDG 2ND
Infect Disease Presby
Philadelphia, PA 19104-2640
Phone (215) 662-9990

Hospital & facility affiliations

  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00546200NJMDPhysician Assistant
MA060922PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Jul 11, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 11, 2022 Accepting new patients
World Wellness Health Institute PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1033766480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 FILBERT ST.",
            "address_2": "MEDICAL ARTS BUILDING 1ST FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042640",
            "telephone_number": "215-662-9908",
            "fax_number": "215-243-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 FILBERT ST.",
            "address_2": "MEDICAL ARTS BUILDING 1ST FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042640",
            "telephone_number": "215-662-9908",
            "fax_number": "215-243-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ASHWIN",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-21",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00546200",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.