Individual provider Active NPI

Ashima Kumar Gupta, MD

  • Ophthalmology Physician
  • Louisville, KY
National Provider Identifier
1073509592
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
39832 Issued in KY
Practice address
4940 Hazelwood Ave
Louisville, KY 40214-1270
Phone
(502) 368-3937
Fax
(502) 368-0231
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 39832 KY
Ophthalmology Physician 207W00000X 39832 KY Primary

Addresses

Primary practice location

4940 Hazelwood Ave
Louisville, KY 40214-1270

Mailing address

1279 Cherokee Rd
Louisville, KY 40204-2204
Phone (202) 494-8423

Other identifiers 1

IdentifierTypeStateIssuer
7100267370MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131003000109 KY Practitioner - Ophthalmology 8921100066 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
George Washington University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Eye Surgery Associates PSCGroup PAC ID 4789651761, 3 clinicians
Commonwealth of KentuckyGroup PAC ID 0840180816, shared by 4 NPIs, 28 clinicians

Practice addresses (Care Compare)

1348 Poplar Level Rd
Louisville, KY 40217-1307
Phone (502) 634-8100

1800 Bluegrass Ave
Louisville, KY 40215-1130
Phone (502) 361-2301

4940 Hazelwood Ave
Louisville, KY 40214-1270
Phone (502) 368-3937

Merit-based Incentive Payment System (MIPS)

Final score
83.76 of 100Reported as group
Quality
99.85
Improvement activities
40
Cost
46.08

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39832KYMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Eye Surgery Associates PSC Ophthalmology CurrentSince Oct 1, 2013 Accepting new patients
Commonwealth of Kentucky CurrentSince May 10, 2022 Accepting new patients
Commonwealth of Kentucky Ophthalmology CurrentSince Aug 21, 2018 Accepting new patients
Commonwealth of Kentucky CurrentSince Aug 21, 2018 Accepting new patients

Locations

1800 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-2301

4940 Hazelwood Ave
Ste 2
Louisville, KY 40214

1348 Poplar Level Rd
Louisville, KY 40217
Phone (502) 634-1721

4940 Hazelwood Ave
Louisville, KY 40214
Phone (502) 368-3937

4501 Louise Underwood Way
Louisville, KY 40216
Phone (502) 368-2348

Interoperability endpoints

  • Direct secure messaging: ashima.gupta@kumareye.direct.eyemdemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1073509592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 CHEROKEE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402042204",
            "telephone_number": "202-494-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 HAZELWOOD AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141270",
            "telephone_number": "502-368-3937",
            "fax_number": "502-368-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ASHIMA",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "KY",
            "license": "39832",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "39832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100267370",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.