Active NPI
Dham Krishan Gupta, M.D
- Psychiatry Physician
- Buffalo, NY
National Provider Identifier
1053357376
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jan 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 153750
- Practice address
- 462 Grider St
Buffalo, NY 14215-3021 - Phone
- (716) 898-3465
- Fax
- (716) 898-4289
- NPI assigned
- Jun 22, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 153750 | NY | Primary |
Addresses
Primary practice location
462 Grider St
Buffalo, NY 14215-3021
Mailing address
260 Meadowview LN
Williamsville, NY 14221-3557
Phone (716) 816-2221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89K521 | Other | NY | PIN # |
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 |
|---|---|---|---|
| 153750 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Health Services Inc | Past | Accepting new patients | |
| County of Niagara | Past | Accepting new patients | |
| Hamburg Counseling Service, Inc. | Past | Accepting new patients | |
| University Psychiatric Practice, Inc | Psychiatry | Past | Accepting new patients |
| Hamburg Counseling Service | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEGDAA
Organizations & group practices 5
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.
-
- Land Ambulance
- Lockport, NY
- NPI 1891566725
-
- Community/Behavioral Health Agency
- Hamburg, NY
- NPI 1902180086
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hamburg, NY
- NPI 1902816598
-
- Community/Behavioral Health Agency
- Getzville, NY
- NPI 1043387152
-
- Psychiatry Physician
- Buffalo, NY
- NPI 1588743702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053357376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 MEADOWVIEW LN",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142213557",
"telephone_number": "716-816-2221",
"fax_number": "716-885-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 GRIDER ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142153021",
"telephone_number": "716-898-3465",
"fax_number": "716-898-4289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "DHAM",
"middle_name": "KRISHAN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "153750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN #",
"identifier": "89K521",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.