Individual provider Active NPI

Priyadarshan Gupta, M.D.

  • Hospitalist Physician
  • Wilkes Barre, PA
National Provider Identifier
1104947662
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD471232 Issued in PA
Practice address
575 N River St
Wilkes Barre, PA 18764-4550
Phone
(570) 552-4450
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37739 SC
Internal Medicine Physician 207R00000X MD036500 DC
Internal Medicine Physician 207R00000X D0065591 MD
Internal Medicine Physician 207R00000X 4301502925 MI
Hospitalist Physician 208M00000X 4301502925 MI
Hospitalist Physician 208M00000X 237649 NY
Hospitalist Physician 208M00000X MD471232 PA Primary

Addresses

Primary practice location

575 N River St
Wilkes Barre, PA 18764-4550

Mailing address

237 E 28TH St Apt 5B
New York, NY 10016-8593
Phone (917) 579-2284

Other practice location 1

2101 Jefferson St
Kaiser Permanente Regional Office 2 East
Rockville, MD 20851
Phone (917) 579-2284

Other practice location 2

600 Northern Blvd
Albany, NY 12204-1004
Phone (511) 847-1322

Other practice location 3

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300

Other practice location 4

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1550

Other practice location 5

850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 449-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, SC, TN, FL, KY, IN7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20081120000377 DC Practitioner - Internal Medicine 8527128594 Reassigns benefits to 2 organizations
I20120301000376 MD Practitioner - HospitalistPractitioner - Internal Medicine 8527128594 Reassigns benefits to 2 organizations
I20150616002022 SC Practitioner - Internal Medicine 8527128594 Reassigns benefits to 4 organizations
I20210811003298 TN Practitioner - HospitalistPractitioner - Internal Medicine 8527128594 Reassigns benefits to 3 organizations
I20210922000961 FL Practitioner - Internal Medicine 8527128594 Reassigns benefits to 1 organization
I20211119001023 KY Practitioner - Hospitalist 8527128594 Reassigns benefits to 2 organizations
I20250222000216 IN Practitioner - Internal MedicinePractitioner - Hospitalist 8527128594

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of TN LLCGroup PAC ID 2365807633, 266 clinicians
Amago Inpatient Services LLCGroup PAC ID 7214259704, 21 clinicians
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

111 Hwy 70 E
Tristar Horizon Medical Center
Dickson, TN 37055-2080
Phone (615) 446-0446

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (423) 698-6061

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (954) 939-5000

340 NW Commerce Dr
Lake City Medical Center
Lake City, FL 32055-4709
Phone (850) 719-9000

941 Spring Creek Rd
Chattanooga, TN 37412-3909
Phone (423) 894-7870

Hospital & facility affiliations

  • Terre Haute Regional Hospital Hospital, Terre Haute, IN, CCN 150046
  • Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156
  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0065591MDMDInternal Medicine Physician
37739SCMDInternal Medicine Physician
MD471232PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics at Umroi, LLC Hospitalist CurrentSince Mar 9, 2020 Accepting new patients
Sound Physicians of South Carolina, LLC Internal Medicine CurrentSince Dec 20, 2018 Accepting new patients
Prisma Health Medical Group-Midlands Internal Medicine Current Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Nov 7, 2018 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince Sep 25, 2017 Accepting new patients
Medical Faculty Associates, Inc Internal Medicine CurrentSince Aug 5, 2016 Accepting new patients
Erlanger Health Internal Medicine CurrentSince Nov 11, 2024 Accepting new patients
In Hospitalists, LLC Hospitalist CurrentSince Jan 29, 2025 Accepting new patients
Hospital Medicine Services of TN, LLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Hospital Medicine Services of Ky, LLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Apogee Medical Group Tennessee PC Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Erlanger Health CurrentSince Nov 11, 2024 Accepting new patients
Mdics at Meritus Medical Center, LLC Hospitalist CurrentSince Feb 26, 2020 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Mar 27, 2017 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 25, 2017 Accepting new patients
Hospital Medicine Services of FL, LLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jun 20, 2021 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Jun 20, 2021 Accepting new patients
Prisma Health Medical Group-Midlands Hospitalist CurrentSince Mar 27, 2017 Accepting new patients
Greenview Hospital, Inc. Past Accepting new patients
Parkridge Medical Center, Inc. Past Accepting new patients

Locations (25 of 33)

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

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

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

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

2200 Kernan Dr
Woodlawn, MD 21207
Phone (410) 448-2500

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

115 N Sumter St
Ste 400
Sumter, SC 29150
Phone (803) 774-7425

115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

Interoperability endpoints

  • Direct secure messaging: pgupta22846@direct.crmcwy.org

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 5

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1104947662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 E 28TH ST APT 5B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168593",
            "telephone_number": "917-579-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187644550",
            "telephone_number": "570-552-4450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Jefferson St",
            "address_2": "Kaiser Permanente Regional Office 2 East",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "20851",
            "country_code": "US",
            "telephone_number": "917-579-2284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122041004",
            "country_code": "US",
            "telephone_number": "511-847-1322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-271-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 S Manning Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-1550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 W Baraga Ave",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498554550",
            "country_code": "US",
            "telephone_number": "906-449-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "PRIYADARSHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "37739",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD036500",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0065591",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301502925",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301502925",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "237649",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD471232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.