NPIMap

Individual provider Active NPI

Bharat Kumar Gupta, M.D., FACP

  • Nephrology Physician
  • Oakland Park, FL
National Provider Identifier
1114980075
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME75767 Issued in FL
Practice address
911 E Oakland Park Blvd
Oakland Park, FL 33334-2725
Phone
(954) 727-2300
Fax
(954) 727-2301
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME75767 FL Primary

Addresses

Primary practice location

911 E Oakland Park Blvd
Oakland Park, FL 33334-2725

Mailing address

911 E Oakland Park Blvd
Oakland Park, FL 33334-2725
Phone (954) 727-2300

Other identifiers 2

IdentifierTypeStateIssuer
253994200MedicaidFL
K2827OtherFLGROUP ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091031000054 FL Practitioner - NephrologyPractitioner - Internal Medicine 5991618753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

911 E Oakland Park Blvd
Oakland Park, FL 33334-2725
Phone (954) 727-2300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crown Dialysis Center of Palm Beach LLC CurrentSince May 20, 2001 Accepting new patients
Boca Raton Medical Care LLC Current Accepting new patients
Florida Kidney and Hypertension Care PA Nephrology CurrentSince May 20, 2001 Accepting new patients

Locations

4701 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 372-3700

911 E Oakland Park Blvd
Oakland Park, FL 33334
Phone (954) 318-7000

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1114980075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E OAKLAND PARK BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342725",
            "telephone_number": "954-727-2300",
            "fax_number": "954-727-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E OAKLAND PARK BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342725",
            "telephone_number": "954-727-2300",
            "fax_number": "954-727-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "BHARAT",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D., FACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME75767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253994200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID NUMBER",
            "identifier": "K2827",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.