Organization Active NPI

Sunil K. Gupta, M.D., P.a.

  • Internal Medicine Physician
  • Cumberland, MD
National Provider Identifier
1063609667
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0033280 Issued in MD
Legal business name
SUNIL K. GUPTA, M.D., P.A.
Practice address
625 Kent Ave Ste 101
Cumberland, MD 21502-3798
Phone
(301) 724-7117
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Sunil Kumar Gupta, M.D.NPI 1093886657
Title
President
Phone
(301) 724-7117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D0033280 MD Primary

Addresses

Primary practice location

625 Kent Ave Ste 101
Cumberland, MD 21502-3798

Mailing address

625 Kent Ave Ste 101
Cumberland, MD 21502-3798
Phone (301) 724-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100322000326 MD Part B Supplier - Clinic/Group Practice 0042345621 Receives reassigned benefits from 1 practitioner
Practice locations: Cumberland, MD; Westernport, MD

National Provider Directory

National Provider Directory

Locations

730 Furnace St
Cumberland, MD 21502
Phone (301) 759-2757

10301 Christie Rd NE
Cumberland, MD 21502
Phone (301) 724-1400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1063609667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENT AVE STE 101",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023798",
            "telephone_number": "301-724-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 KENT AVE STE 101",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023798",
            "telephone_number": "301-724-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNIL K. GUPTA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-724-7117",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0033280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.

Verify at the official NPI Registry.