NPIMap

Organization Active NPI

Ashok Gupta, M.D., P.L.L.C.

  • Internal Medicine Physician
  • Keego Harbor, MI
National Provider Identifier
1114118981
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301042770 Issued in MI
Legal business name
ASHOK GUPTA, M.D., P.L.L.C.
Doing business as
Ashok Gupta, M.D., P.L.L.C.
Practice address
2200 Beechmont St
Keego Harbor, MI 48320-1460
Phone
(248) 681-6577
NPI assigned
Aug 7, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Ashok Gupta, M.D.NPI 1285788463
Title
Doctor
Phone
(248) 681-6577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301042770 MI Primary

Addresses

Primary practice location

2200 Beechmont St
Keego Harbor, MI 48320-1460

Mailing address

PO Box 645
Keego Harbor, MI 48320-0645
Phone (248) 681-6577

Other identifiers 3

IdentifierTypeStateIssuer
B44353OtherMIUPIN
103507272MedicaidMI
4301042770OtherMILICENSE

Other names 1

  • Ashok Gupta, M.D., P.L.L.C. Doing business as

National Provider Directory

National Provider Directory

Locations

2200 Beechmont St
Keego Harbor, MI 48320
Phone (248) 681-6577

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1114118981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645",
            "city": "KEEGO HARBOR",
            "state": "MI",
            "postal_code": "483200645",
            "telephone_number": "248-681-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BEECHMONT ST",
            "city": "KEEGO HARBOR",
            "state": "MI",
            "postal_code": "483201460",
            "telephone_number": "248-681-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHOK GUPTA, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "248-681-6577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301042770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "B44353",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103507272",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4301042770",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashok Gupta, M.D., P.L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keego Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.