Active NPI
Ashima Kumar Gupta, MD
- Ophthalmology Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 39832
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100267370 | Medicaid | KY |
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
Enrollment records 1
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
- Commonwealth of Kentucky
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 100
- 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39832 | KY | MD | Pediatric Ophthalmology and Strabismus Specialist Physician Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Eye Surgery Associates PSC | Ophthalmology | Current | Accepting new patients |
| Commonwealth of Kentucky | Current | Accepting new patients | |
| Commonwealth of Kentucky | Ophthalmology | Current | Accepting new patients |
| Commonwealth of Kentucky | Current | 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
- 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.
-
- Ophthalmology Physician
- Louisville, KY
- NPI 1588862361
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1114346467
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1326467986
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.