Sameer Gupta, MD

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

2005006001 Issued in MO

Practice address

4906 Frederick Ave
Saint Joseph, MO 64506-3246

Phone

(816) 396-0245

Fax

(816) 817-5746

NPI assigned

Nov 23, 2005

Last updated

Feb 28, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Family Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJJDAD/Endpoint/GJJDAD

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.

• Vein Clinic Saint Joseph LLC

  dba Alsara Clinic

  • Medical Specialty Clinic/Center
  • Saint Joseph, MO
  • NPI 1306203120
  Medicare reassignment NPD Authorized official
• Vein Care Associates S.C.

  • Medical Specialty Clinic/Center
  • Beaver Dam, WI
  • NPI 1467792457
  NPD (past) Authorized official
• Advanced Care Center, LLC

  • Specialist
  • Nashville, TN
  • NPI 1144348509
  NPD (past)
• Indiana Urgent Care Centers, LLC

  dba Indy Urgent Care

  • Clinic/Center
  • Indianapolis, IN
  • NPI 1134292832
  NPD (past)
• Maplewood Podiatry, LLC

  • Podiatrist
  • Maplewood, MN
  • NPI 1023069259
  NPD (past)
• Mayo Clinic

  • Clinical Medical Laboratory
  • Rochester, MN
  • NPI 1083249577
  NPD (past)

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1043293996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 FREDERICK AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063246",
            "telephone_number": "816-396-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 FREDERICK AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063246",
            "telephone_number": "816-396-0245",
            "fax_number": "816-817-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SAMEER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2005006001",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01060297A",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "MO",
            "license": "2005006001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sai Siva Ram Guduru, MD
• Harris Leigh Gulledge, PARAMEDIC
• Jerry Babb Gulledge Jr., PH.D.
• William L. Gummelt, MD
• Rachel Lois Gunderson, FNP
• Vicram Gupta, MD
• Vinay Gupta, MD
• Nicholas Andrew Gutzmer, DO
• Hac, Inc (Price Chopper Pharmacy)
• Hac, Inc. (Price Chopper Pharmacy)

• Phlebology Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Phlebology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.

Verify at the official NPI Registry.