Individual provider Active NPI

Christine E Gupta, MD

  • Surgery Physician
  • Carmel, IN
National Provider Identifier
1043256456
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01054121A Issued in IN
Practice address
13430 N Meridian St Ste 364
Carmel, IN 46032
Phone
(317) 582-8061
NPI assigned
Jun 22, 2006
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01054121A IN Primary

Addresses

Primary practice location

13430 N Meridian St Ste 364
Carmel, IN 46032

Mailing address

13430 N Meridian St Ste 364
Carmel, IN 46032-1443

Other identifiers 1

IdentifierTypeStateIssuer
2003626010MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christine.gupta.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070507000106 IN Practitioner - General Surgery 2668575200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

13430 N Meridian St
Carmel, IN 46032-1484

13450 N Meridian St
Suite 145
Carmel, IN 46032-1484
Phone (317) 338-4303

13500 N Meridian St
Carmel, IN 46032-1456
Phone (317) 582-7000

13861 Olio Rd
Fishers, IN 46037-3487
Phone (317) 338-7136

13914 Southeastern Pkwy
Fishers, IN 46037-7125

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy42
Hernia repair (minimally invasive)11
Upper gastrointestinal (GI) endoscopy for acid reflux12
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01054121AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Surgery CurrentSince Jul 9, 2012 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Sep 10, 2013 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center Surgery CurrentSince Sep 10, 2013 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jul 9, 2012 Accepting new patients
Southside Emergency Associates Past Accepting new patients
Major Hospital Past Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients
Witham Memorial Hospital Past Accepting new patients

Locations

13430 N Meridian St
Ste 275
Carmel, IN 46032
Phone (317) 329-7123

13430 N Meridian St
Ste 364
Carmel, IN 46032
Phone (317) 582-8061

13914 Southeastern Pkwy
Ste 202
Fishers, IN 46037
Phone (317) 415-9330

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

8402 Harcourt Rd
Ste 815
Indianapolis, IN 46260
Phone (317) 338-9660

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

Interoperability endpoints

  • Direct secure messaging: christine.gupta.1@7598.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1043256456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13430 N MERIDIAN ST STE 364",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 N MERIDIAN ST STE 364",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-582-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "CHRISTINE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01054121A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003626010",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christine.gupta.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "13430 N Meridian St Ste 364",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.