NPIMap

Individual provider Active NPI

Sandeep Gupta, MD

  • Pulmonary Disease Physician
  • Houston, TX
National Provider Identifier
1063500353
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
J8256 Issued in TX
Practice address
11920 Astoria Blvd Ste 320
Houston, TX 77089-6097
Phone
(281) 484-9369
Fax
(281) 484-1843
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X J8256 TX
Pulmonary Disease Physician 207RP1001X J8256 TX Primary

Addresses

Primary practice location

11920 Astoria Blvd Ste 320
Houston, TX 77089-6097

Mailing address

11920 Astoria Blvd Ste 320
Houston, TX 77089-6097
Phone (281) 484-9369

Other identifiers 1

IdentifierTypeStateIssuer
039762201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100928000596 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0143346163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Pulmonary Medicine Associates PAGroup PAC ID 4082602198, 8 clinicians

Practice addresses (Care Compare)

11920 Astoria Blvd
Houston, TX 77089-6097
Phone (281) 484-9369

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8256TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Pulmonary Medicine Associates PA Pulmonary Disease CurrentSince May 15, 1995 Accepting new patients
Cardiovascular Care Providers, Inc. PastSince May 15, 1995 Accepting new patients

Locations

11920 Astoria Blvd
Ste 320
Houston, TX 77089
Phone (281) 484-9369

5 Professional Park Dr
Webster, TX 77598
Phone (281) 724-1259

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECHIAA/Endpoint/ECHIAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/ECHIAA
  • Direct secure messaging: sgupta38882@memorialhermann.direct-ci.com

Organizations & group practices 2

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 11

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1063500353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 ASTORIA BLVD STE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896097",
            "telephone_number": "281-484-9369",
            "fax_number": "281-484-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 ASTORIA BLVD STE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896097",
            "telephone_number": "281-484-9369",
            "fax_number": "281-484-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SANDEEP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "J8256",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "J8256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039762201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.