Individual provider Active NPI

Archana Anil Gupta, M.D.

  • Ophthalmology Physician
  • Boca Raton, FL
National Provider Identifier
1134475569
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME130980 Issued in FL
Practice address
9980 Central Park Blvd N Ste 118
Boca Raton, FL 33428-1703
Phone
(561) 931-2655
Fax
(561) 931-2657
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME130980 FL Primary

Addresses

Primary practice location

9980 Central Park Blvd N Ste 118
Boca Raton, FL 33428-1703

Mailing address

9980 Central Park Blvd N Ste 118
Boca Raton, FL 33428-1703
Phone (561) 931-2655

Other identifiers 1

IdentifierTypeStateIssuer
ME130980OtherFLMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address archana.guptamd.p29@direct.eyefl.nextgenshare.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190110001629 FL Practitioner - Ophthalmology 2961789201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians of Florida LLPGroup PAC ID 1254414675, 42 clinicians

Practice addresses (Care Compare)

9980 Central Park Blvd N
Suite 118
Boca Raton, FL 33428-1703
Phone (561) 931-2655

Merit-based Incentive Payment System (MIPS)

Final score
91.43 of 100Reported as individual
Quality
89.88
Promoting interoperability
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME130980FLMDOphthalmology Physician

Interoperability endpoints

  • Direct secure messaging: archana.guptamd.p10@direct.eyefl.nextgenshare.com
  • Direct secure messaging: archana.guptamd.p29@direct.eyefl.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1134475569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N STE 118",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281703",
            "telephone_number": "561-931-2655",
            "fax_number": "561-931-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N STE 118",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281703",
            "telephone_number": "561-931-2655",
            "fax_number": "561-931-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ARCHANA",
        "middle_name": "ANIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME130980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME130980",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "archana.guptamd.p29@direct.eyefl.nextgenshare.com",
            "affiliation": "N",
            "address_1": "9980 Central Park Blvd N Ste 118",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334281703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.