Active NPI
Ankur Gupta, MD
- Family Medicine Physician
- Modesto, CA
National Provider Identifier
1053055442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A208722
- Practice address
- 1011 Sylvan Ave
Modesto, CA 95350-1692 - Phone
- (209) 572-5906
- Fax
- (209) 452-3185
- NPI assigned
- Apr 22, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A208722 | CA | Primary |
Addresses
Primary practice location
1011 Sylvan Ave
Modesto, CA 95350-1692
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071
Other practice location 1
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-4092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 255228
Sacramento, CA 95865
PO Box
Suite 255228
Sacramento, CA 95865-5228
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1053055442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228",
"telephone_number": "800-470-0071",
"fax_number": "916-854-6769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 SYLVAN AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953501692",
"telephone_number": "209-572-5906",
"fax_number": "209-452-3185"
}
],
"practiceLocations": [
{
"address_1": "1501 Kings Hwy",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711034228",
"country_code": "US",
"telephone_number": "318-626-4092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "ANKUR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-22",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A208722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.