NPIMap

Organization Active NPI

Dr Arun K Gupta PC

  • Cardiovascular Disease Physician
  • Manassas, VA
National Provider Identifier
1093997900
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
DR ARUN K GUPTA PC
Practice address
9306 Forest Point Cir
Manassas, VA 20110-4700
Phone
(703) 330-3322
Fax
(703) 330-5051
NPI assigned
Dec 3, 2007
Last updated
Oct 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Dr. Arun K Gupta, M.D.NPI 1295756054
Title
Physician
Phone
(703) 330-3322

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X

Addresses

Primary practice location

9306 Forest Point Cir
Manassas, VA 20110-4700

Mailing address

9306 Forest Point Cir
Manassas, VA 20110-4700
Phone (703) 330-3322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040715001210 VA Part B Supplier - Clinic/Group Practice 5294714044 Receives reassigned benefits from 15 practitioners
Practice locations: Manassas, VA
O20161004002841 DC Part B Supplier - Clinic/Group Practice 5294714044 Receives reassigned benefits from 11 practitioners
Practice locations: Fairfax, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1021861Arun K Gupta, PC9306 Forest Point Circle, Manassas, VA 20110Certificate of waiverFeb 2, 2028

National Provider Directory

National Provider Directory

Locations

10560 Main St
Ste 213
Fairfax, VA 22030

10560 Main St
Ste 509
Fairfax, VA 22030

8428 Dorsey Cir
Ste 101
Manassas, VA 20110
Phone (571) 379-8827

9306 Forest Point Cir
Manassas, VA 20110
Phone (703) 330-3322

14080 Central Loop
Apt 2133
Woodbridge, VA 22193

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1093997900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9306 FOREST POINT CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104700",
            "telephone_number": "703-330-3322",
            "fax_number": "703-330-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9306 FOREST POINT CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104700",
            "telephone_number": "703-330-3322",
            "fax_number": "703-330-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ARUN K GUPTA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ARUN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-330-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.