Individual provider Active NPI

Sandeep Gupta, M.D.

  • Psychiatry Physician
  • Toledo, OH
National Provider Identifier
1164652418
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.122881 Issued in OH
Practice address
4447 Talmadge Rd Ste C
Toledo, OH 43623-3517
Phone
(419) 475-7007
NPI assigned
Jul 21, 2009
Last updated
Nov 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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 35.122881 OH Primary

Addresses

Primary practice location

4447 Talmadge Rd Ste C
Toledo, OH 43623-3517

Mailing address

4447 Talmadge Rd Ste C
Toledo, OH 43623-3517
Phone (419) 475-7007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140519001675 OH Practitioner - Psychiatry 3577786623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ohio State University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4447 Talmadge Rd
Toledo, OH 43623-3500

4447 Talmadge Rd
Suite C
Toledo, OH 43623-3517
Phone (419) 290-3672

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unison Behavioral Health Group, Inc. CurrentSince Jul 2, 2018 Accepting new patients
Arrowhead Behavioral Health LLC Past Accepting new patients
The Toledo Hospital Past Accepting new patients
The Toledo Hospital Past Accepting new patients

Locations

1425 Starr Ave
Toledo, OH 43605
Phone (419) 259-4506

Organizations & group practices 5

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 3

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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1164652418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4447 TALMADGE RD STE C",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233517",
            "telephone_number": "419-475-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4447 TALMADGE RD STE C",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233517",
            "telephone_number": "419-475-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SANDEEP",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.122881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.