Individual provider Active NPI

Padma Gupta, M.D.

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1144288663
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0031109 Issued in FL
Practice address
13500 SW 88TH St
Suite 181
Miami, FL 33186-1515
Phone
(305) 752-2600
Fax
(305) 752-2829
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME0031109 FL Primary

Addresses

Primary practice location

13500 SW 88TH St
Suite 181
Miami, FL 33186-1515

Mailing address

13500 SW 88TH St
Suite 181
Miami, FL 33186-1515
Phone (305) 752-2600

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
I20140423001229 FL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5092948281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0031109FLMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144288663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 SW 88TH ST",
            "address_2": "SUITE 181",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861515",
            "telephone_number": "305-752-2600",
            "fax_number": "305-752-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 SW 88TH ST",
            "address_2": "SUITE 181",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861515",
            "telephone_number": "305-752-2600",
            "fax_number": "305-752-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "PADMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0031109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.