Active NPI
Kamlesh Gupta, M.D.
- Anatomic Pathology Physician
- Roanoke Rapids, NC
National Provider Identifier
1063431609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 26003
- Practice address
- 250 Smith Church Rd
Roanoke Rapids, NC 27870-4914 - Phone
- (252) 535-8348
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 26003 | NC | Primary |
Addresses
Primary practice location
250 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Mailing address
PO Box 1107
Roanoke Rapids, NC 27870-1107
Phone (252) 586-7049
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26003 | NC | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kamlesh Gupta MD | Current | Accepting new patients |
Locations
250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699
Interoperability endpoints
- https://api.platform.athenahealth.com/12896/brand/5/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Roanoke Rapids, NC
- NPI 1194855882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063431609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1107",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278701107",
"telephone_number": "252-586-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 SMITH CHURCH RD",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278704914",
"telephone_number": "252-535-8348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "KAMLESH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NC",
"license": "26003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke Rapids, NC
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.