Active NPI
Sandhya Gupta, MD
- Internal Medicine Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101262802
- Practice address
- 2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178 - Phone
- (757) 507-4123
- NPI assigned
- Jul 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 0101262802 | VA | |
| Internal Medicine Physician | 207R00000X | 54045 | WI | |
| Internal Medicine Physician | 207R00000X | 125-055483 | IL | |
| Hospitalist Physician | 208M00000X | 54045 | WI | |
| Internal Medicine Physician | 207R00000X | 0101262802 | VA | Primary |
Addresses
Primary practice location
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Mailing address
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 507-4123
Other practice location 1
W3985 County Road Nn
Elkhorn, WI 53121-4337
Phone (262) 741-2718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100011729 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | sgupta41683@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 507-4123
Hospital & facility affiliations
- Sentara Princess Anne Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-055483 | IL | MD | Internal Medicine Physician |
| 54045 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Wausau Hospital, Inc. | Internal Medicine | Current | Accepting new patients |
| Sentara Medical Group | Internal Medicine | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
Interoperability endpoints
- sgupta41683@direct.myadvocateaurora.org
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Union Grove, WI
- NPI 1245440601
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1528028396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1114182771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 GLENN MITCHELL DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234560178",
"telephone_number": "757-507-4123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 GLENN MITCHELL DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234560178",
"telephone_number": "757-507-4123"
}
],
"practiceLocations": [
{
"address_1": "W3985 County Road Nn",
"address_purpose": "LOCATION",
"city": "Elkhorn",
"state": "WI",
"postal_code": "531214337",
"country_code": "US",
"telephone_number": "262-741-2718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "SANDHYA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-23",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101262802",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "54045",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125-055483",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "54045",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101262802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100011729",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "W3985 County Road Nn",
"city": "Elkhorn",
"state": "WI",
"country_code": "US",
"postal_code": "531214337",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sgupta41683@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "W3985 County Road Nn",
"city": "Elkhorn",
"state": "WI",
"country_code": "US",
"postal_code": "531214337",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.