Active NPI
Santosh Gupta, MD
- Pediatric Endocrinology Physician
- Chesterfield, MO
National Provider Identifier
1164594883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 34855
- Practice address
- 16216 Baxter Road Suite 299
Chesterfield, MO 63017 - Phone
- (636) 530-9999
- Fax
- (636) 530-0977
- NPI assigned
- Nov 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34855 | MO | |
| Pediatric Endocrinology Physician | 2080P0205X | 34855 | MO | Primary |
Addresses
Primary practice location
16216 Baxter Road Suite 299
Chesterfield, MO 63017
Mailing address
16216 Baxter Road Suite 299
Chesterfield, MO 63017
Phone (636) 530-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34855 | MO | MD | Pediatrics Physician |
Interoperability endpoints
- https://api.platform.athenahealth.com/15869/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1164594883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16216 BAXTER ROAD SUITE 299",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "63017",
"telephone_number": "636-530-9999",
"fax_number": "636-530-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16216 BAXTER ROAD SUITE 299",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "63017",
"telephone_number": "636-530-9999",
"fax_number": "636-530-0977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "SANTOSH",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "34855",
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "MO",
"license": "34855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.