NPIMap

Individual provider Active NPI

Reena Gupta, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1043470818
Registry record updated Jun 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A104187 Issued in CA
Practice address
1001 Potrero Ave RM 1M3
SFGH General Medicine Clinic
San Francisco, CA 94110-3518
Phone
(415) 206-4892
Fax
(415) 206-6115
NPI assigned
Jun 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A104187 CA Primary

Addresses

Primary practice location

1001 Potrero Ave RM 1M3
SFGH General Medicine Clinic
San Francisco, CA 94110-3518

Mailing address

1001 Potrero Ave RM 1M3
SFGH General Medicine Clinic
San Francisco, CA 94110-3518
Phone (415) 206-4892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090812000344 CA Practitioner - Internal Medicine 8325192255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvard Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 Potrero Ave
San Francisco, CA 94110-3518

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.28 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104187CAMDClinical Social Worker
A104187CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group Internal Medicine CurrentSince Jul 28, 2009 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
City and County of San Francisco CurrentSince Dec 28, 2019 Accepting new patients
City & County of San Francisco CurrentSince Dec 28, 2019 Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 28, 2009 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Rm 1M3
San Francisco, CA 94110
Phone (415) 206-4892

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

Organizations & group practices 6

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 4

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": "1213401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213401600000",
    "number": "1043470818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE RM 1M3",
            "address_2": "SFGH GENERAL MEDICINE CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-4892",
            "fax_number": "415-206-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE RM 1M3",
            "address_2": "SFGH GENERAL MEDICINE CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-4892",
            "fax_number": "415-206-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "REENA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-14",
        "last_updated": "2008-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A104187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.