Mayuri P Gupta, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME 109736 Issued in FL

Practice address

5340 N Federal Hwy Ste 110
Lighthouse Point, FL 33064-7058

Phone

(954) 425-2480

Fax

(954) 428-2904

NPI assigned

Jan 8, 2007

Last updated

Oct 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mayuri Patni Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Internal MedicineAlso: Gastroenterology

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premium Practice Solutions, LLCGroup PAC ID 1456520949, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
• HCA Florida Northwest Hospital Hospital, Margate, FL, CCN 100189
• University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224
• Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
• Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premium Practice Solutions, LLC

  • Gastroenterology Physician
  • Lighthouse Point, FL
  • NPI 1164711214
  Medicare reassignment Care Compare group NPD
• Lighthouse Foot & Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Deerfield Beach, FL
  • NPI 1508056326
  NPD (past)

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

• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation
• Delray Medical Center, Inc.

  dba Delray Medical Center

  • General Acute Care Hospital
  • Delray Beach, FL
  • NPI 1326078288
  Care Compare affiliation
• North Broward Hospital District

  dba Broward Health Coral Springs

  • General Acute Care Hospital
  • Coral Springs, FL
  • NPI 1174551147
  Care Compare affiliation
• Northwest Medical Center Inc

  dba HCA Florida Northwest Hospital

  • General Acute Care Hospital
  • Margate, FL
  • NPI 1063466563
  Care Compare affiliation
• University Hospital, LTD.

  dba HCA Florida Woodmont Hospital

  • General Acute Care Hospital
  • Tamarac, FL
  • NPI 1144274770
  Care Compare affiliation

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1114075785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 N FEDERAL HWY STE 110",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647058",
            "telephone_number": "954-425-2480",
            "fax_number": "954-428-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 N FEDERAL HWY STE 110",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647058",
            "telephone_number": "954-425-2480",
            "fax_number": "954-428-2904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 N University Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330716071",
            "country_code": "US",
            "telephone_number": "954-428-2480",
            "fax_number": "954-757-4003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "MAYURI",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2021-10-25",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD429729",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME 109736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYURI",
            "last_name": "PATNI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Latonya Graves-Beasley
• Travis Gray
• Rebecca Lauren Green, PA-C
• Gregory Gertsen, DDS, PA (FL Dental Spa)
• Janet Grote, M.A. CCC/SLP
• Vipin Gupta, MD
• Michelle Lillian Hamby, CRT
• Kevin Patrick Hanaway, DNP, MBA, APRN
• Amal Hanna, M.D.
• Joan Hansen

• Gastroenterology Physician in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.

Verify at the official NPI Registry.