Active NPI
Isha Gupta MD, PLLC
- Internal Medicine Physician
- Sun City, AZ
National Provider Identifier
1043791981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 49904
- Legal business name
- ISHA GUPTA MD, PLLC
- Practice address
- 14815 N del Webb Blvd
Sun City, AZ 85351-2145 - Phone
- (623) 977-3300
- Fax
- (623) 977-6808
- NPI assigned
- Aug 28, 2018
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Isha Gupta, MD
- Title
- Physician
- Phone
- (623) 977-3300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Glendale, AZ
- NPI 1316933641
AZ, Internal Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190814001249 | AZ | Part B Supplier - Clinic/Group Practice | 4486981479 |
Receives reassigned benefits from 2 practitioners Practice locations: Sun City, AZ |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 49904 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
14815 N del Webb Blvd
Sun City, AZ 85351-2145
Mailing address
14815 N del Webb Blvd
Sun City, AZ 85351-2145
Phone (623) 977-3300
Other names 1
NPPES NPI Registry- Isha Gupta, M.D.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 28, 2018.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535414400000",
"number": "1043791981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14815 N DEL WEBB BLVD",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853512145",
"telephone_number": "623-977-3300",
"fax_number": "623-977-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14815 N DEL WEBB BLVD",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853512145",
"telephone_number": "623-977-3300",
"fax_number": "623-977-6808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISHA GUPTA MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-28",
"last_updated": "2018-08-28",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "ISHA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "623-977-3300",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AZ",
"license": "49904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Isha Gupta, M.D.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.