Individual provider Active NPI

Surupa Sen Gupta, M.D.

  • Surgery Physician
  • Rockville, MD
National Provider Identifier
1104138221
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0082328 Issued in MD
Practice address
9905 Medical Center Dr Ste 330
Rockville, MD 20850-6533
Phone
(240) 238-3566
NPI assigned
Jul 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0082328 MD Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

9905 Medical Center Dr Ste 330
Rockville, MD 20850-6533

Mailing address

9905 Medical Center Dr Ste 330
Rockville, MD 20850-6533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20161220000551 DC Practitioner - Surgical Oncology 2860773413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Oncology Hematology PAGroup PAC ID 2062302102, 96 clinicians

Practice addresses (Care Compare)

11886 Healing Way
Silver Spring, MD 20904-7917
Phone (301) 933-3216

6420 Rockledge Dr
Suite 4200
Bethesda, MD 20817-7847
Phone (301) 929-0765

7350 Van Dusen Rd
Suite 370
Laurel, MD 20707-5231
Phone (301) 982-9800

7704 Matapeake Business Dr
Suite 200
Brandywine, MD 20613-3045
Phone (301) 812-3900

9905 Medical Ctr Dr
Rockville, MD 20850-6535

Hospital & facility affiliations

  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0082328MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Oncology Hematology P.a. CurrentSince Aug 26, 2020 Accepting new patients
Medical Faculty Associates, Inc Surgery CurrentSince Oct 26, 2016 Accepting new patients
Maryland Oncology Hematology P.a. CurrentSince Aug 26, 2020 Accepting new patients
Maryland Oncology Hematology, P.a. Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

6420 Rockledge Dr
Ste 4200
Bethesda, MD 20817
Phone (301) 564-5000

10710 Charter Dr
Ste G020
Columbia, MD 21044
Phone (410) 964-2212

20330 Seneca Meadows Pkwy
#B
Germantown, MD 20876
Phone (301) 424-6231

20330 Seneca Meadows Pkwy
Ste B
Germantown, MD 20876

7350 Van Dusen Rd
Ste 370
Laurel, MD 20707
Phone (301) 982-9800

9905 Medical Center Dr
Ste 300
Rockville, MD 20850
Phone (301) 270-2844

9905 Medical Center Dr
Ste 200
Rockville, MD 20850
Phone (301) 424-6231

9715 Medical Center Dr
Rockville, MD 20850
Phone (301) 340-8855

9715 Medical Center Dr
Ste 327
Rockville, MD 20850
Phone (301) 251-7797

9905 Medical Center Dr
Ste 330
Rockville, MD 20850
Phone (240) 238-3566

Interoperability endpoints

  • Direct secure messaging: surupa.sen.gupta@mdonc.ikm.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1104138221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 MEDICAL CENTER DR STE 330",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9905 MEDICAL CENTER DR STE 330",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506533",
            "telephone_number": "240-238-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEN GUPTA",
        "first_name": "SURUPA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0082328",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.