Individual provider Active NPI

Rajesh Gupta, MD

  • Neurology Physician
  • Alexandria, VA
National Provider Identifier
1164680674
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101248663 Issued in VA
Practice address
1500 N Beauregard St Ste 300
Alexandria, VA 22311-1715
Phone
(703) 845-1500
Fax
(703) 845-1300
NPI assigned
May 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X RESIDENT DC
Neurology Physician 2084N0400X 2018-03043 NC
Neurology Physician 2084N0400X 0101248663 VA Primary

Addresses

Primary practice location

1500 N Beauregard St Ste 300
Alexandria, VA 22311-1715

Mailing address

1850 Columbia Pike Apt 329
Arlington, VA 22204-6226
Phone (703) 979-1985

Other practice location 1

1850 Columbia Pike Apt 329
Arlington, VA 22204-6226
Phone (703) 979-1985

Other practice location 2

301 Riverview Ave Ste 202
Norfolk, VA 23510-1065
Phone (757) 252-9015

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgupta100111@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130916000009 DC Practitioner - NeurologyPractitioner - Psychiatry 1951572189 Reassigns benefits to 2 organizations
I20140813001950 VA Practitioner - Neurology 1951572189 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, shared by 24 NPIs, 1,821 clinicians

Practice addresses (Care Compare)

301 Riverview Ave
Suite 202a
Norfolk, VA 23510-1065
Phone (757) 252-9015

3800 Fettler Park Dr
Suite 312
Dumfries, VA 22025-2043
Phone (571) 472-6791

44055 Riverside Pkwy
Suite 226
Leesburg, VA 20176-5177
Phone (703) 207-4320

8081 Innovation Park Dr
Suite 900
Fairfax, VA 22031-4867
Phone (571) 472-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RESIDENTDCMDNeurology Physician
2018-03043NCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jan 7, 2023 Accepting new patients
Sentara Medical Group Neurology CurrentSince Feb 26, 2019 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2016 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2016 Accepting new patients
L&M Physician Association, Inc Past Accepting new patients

Locations

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

1500 N Beauregard St
Ste 300
Alexandria, VA 22311
Phone (703) 845-1500

3800 Fettler Park Dr
Ste 312
Dumfries, VA 22025
Phone (571) 472-6791

8081 Innovation Park Dr
Ste 900
Fairfax, VA 22031
Phone (571) 472-4200

3620 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 264-7801

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224D Cornwall St NW
Leesburg, VA 20176
Phone (571) 291-3458

44055 Riverside Pkwy
Ste 226
Leesburg, VA 20176
Phone (202) 321-8162

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

301 Riverview Ave
Ste 202A
Norfolk, VA 23510
Phone (757) 252-9015

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

301 Riverview Ave
Ste 202
Norfolk, VA 23510
Phone (757) 252-9015

Interoperability endpoints

  • Direct secure messaging: grajesh485583@direct.sentara.net

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1164680674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 COLUMBIA PIKE APT 329",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222046226",
            "telephone_number": "703-979-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N BEAUREGARD ST STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111715",
            "telephone_number": "703-845-1500",
            "fax_number": "703-845-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Columbia Pike Apt 329",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222046226",
            "country_code": "US",
            "telephone_number": "703-979-1985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Riverview Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235101065",
            "country_code": "US",
            "telephone_number": "757-252-9015",
            "fax_number": "757-510-9041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "RAJESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DC",
            "license": "RESIDENT",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2018-03043",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101248663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgupta100111@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1500 N Beauregard St Ste 300",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223111715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.