Active NPI
Sunil K. Gupta, M.D., P.a.
- Internal Medicine Physician
- Cumberland, MD
National Provider Identifier
1063609667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0033280
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sunil Kumar Gupta, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1093886657
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.