Active NPI
Amit Gupta, M.D.
- Internal Medicine Physician
- Logan, WV
National Provider Identifier
1083398101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 36432
- Practice address
- 20 Hospital Dr
Logan, WV 25601-3452 - Phone
- (304) 831-1101
- NPI assigned
- Jun 9, 2023
- Reactivated
- Feb 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36432 | WV | Primary |
Addresses
Primary practice location
20 Hospital Dr
Logan, WV 25601-3452
Mailing address
20 Hospital Dr
Logan, WV 25601-3452
Phone (304) 831-1101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1083398101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 HOSPITAL DR",
"city": "LOGAN",
"state": "WV",
"postal_code": "256013452",
"telephone_number": "304-831-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 HOSPITAL DR",
"city": "LOGAN",
"state": "WV",
"postal_code": "256013452",
"telephone_number": "304-831-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "AMIT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-09",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"deactivation_date": "2024-01-12",
"reactivation_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "36432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Logan, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.