Individual provider Active NPI

Anurag Gupta, MD

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1144285552
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
12572 Issued in NV
Practice address
3245 S Rainbow Blvd Ste 100
Las Vegas, NV 89146-6217
Phone
(702) 228-4900
Fax
(702) 228-1177
NPI assigned
Apr 19, 2006
Last updated
Mar 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 12572 NV Primary

Addresses

Primary practice location

3245 S Rainbow Blvd Ste 100
Las Vegas, NV 89146-6217

Mailing address

3245 S Rainbow Blvd Ste 100
Las Vegas, NV 89146-6217
Phone (702) 228-4900

Other identifiers 2

IdentifierTypeStateIssuer
1144285552MedicaidNV
464885917OtherNVTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20121102000363 NV Practitioner - Psychiatry 7012016066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Psychiatric Associates IncGroup PAC ID 7012135619, 3 clinicians

Practice addresses (Care Compare)

3245 S Rainbow Blvd
Suite 100
Las Vegas, NV 89146-6217
Phone (702) 228-4900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12572NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Associates Inc Psychiatry CurrentSince Aug 1, 2014 Accepting new patients
Noble Behavioral Healthcare Inc Past Accepting new patients
Plymouth Life, Inc. Past Accepting new patients

Locations

3245 S Rainbow Blvd
Ste 100
Las Vegas, NV 89146
Phone (702) 228-4900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1144285552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 S RAINBOW BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466217",
            "telephone_number": "702-228-4900",
            "fax_number": "702-228-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 S RAINBOW BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466217",
            "telephone_number": "702-228-4900",
            "fax_number": "702-228-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ANURAG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "12572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144285552",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "464885917",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.