Active NPI
Ved P. Gupta, M.D.
- Rheumatology Physician
- Philadelphia, PA
National Provider Identifier
1043328891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MD033955L
- Practice address
- 2137 Welsh Rd
Suite 2E
Philadelphia, PA 19115-4963 - Phone
- (215) 464-8008
- Fax
- (215) 464-7204
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | MD033955L | PA | Primary |
Addresses
Primary practice location
2137 Welsh Rd
Suite 2E
Philadelphia, PA 19115-4963
Mailing address
2137 Welsh Rd
Suite 2E
Philadelphia, PA 19115-4963
Phone (215) 464-8008
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5768 | Other | PA | AETNA |
| 00062349200001 | Medicaid | PA | |
| 152955 | Other | PA | HIGHMARK BLUE SHIELD |
| 0061721000 | Other | PA | INDEPENDENCE BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD033955L | PA | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043328891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2137 WELSH RD",
"address_2": "SUITE 2E",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191154963",
"telephone_number": "215-464-8008",
"fax_number": "215-464-7204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2137 WELSH RD",
"address_2": "SUITE 2E",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191154963",
"telephone_number": "215-464-8008",
"fax_number": "215-464-7204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "VED",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "PA",
"license": "MD033955L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5768",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00062349200001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "152955",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0061721000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.