Individual provider Active NPI

Amitabh Gupta, M.D. PH.D.

  • Neurology Physician
  • Dallas, TX
National Provider Identifier
1174660278
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
P5074 Issued in TX
Practice address
8198 Walnut Hill LN Ste 100
Dallas, TX 75231
Phone
(214) 345-4440
Fax
(214) 345-4286
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 04-41502 KS
Neurology Physician 2084N0400X MD184424 OR
Neurology Physician 2084N0400X ME103112 FL
Neurology Physician 2084N0400X 56538 TN
Neurology Physician 2084N0400X T4928 MD
Neurology Physician 2084N0400X 69811 WI
Neurology Physician 2084N0400X 25IA12293000 NJ
Hospitalist Physician 208M00000X ME103112 FL
Neurology Physician 2084N0400X P5074 TX Primary

Addresses

Primary practice location

8198 Walnut Hill LN Ste 100
Dallas, TX 75231

Mailing address

8198 Walnut Hill LN Ste 100
Dallas, TX 75231-4316
Phone (214) 345-4440

Other practice location 1

1700 Medical Center Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-5822

Other practice location 2

3311 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-3298

Other practice location 3

1500 SW 10th Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

Other practice location 4

53 Nautilus Dr
Manahawkin, NJ 08050-2465
Phone (609) 987-8870

Other practice location 5

11518 N Frontage Rd
Yuma, AZ 85367-8994
Phone (928) 342-6500

Other identifiers 2

IdentifierTypeStateIssuer
020725800MedicaidFL
FO946YOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MT, AZ, NJ4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20171101002103 TN Practitioner - Neurology 8224203575 Reassigns benefits to 2 organizations
I20240612003105 MT Practitioner - Neurology 8224203575 Reassigns benefits to 1 organization
I20241118004157 AZ Practitioner - Neurology 8224203575 Reassigns benefits to 1 organization
I20241231002097 NJ Practitioner - NeurologyPractitioner - Psychiatry 8224203575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bio Family Clinic IncGroup PAC ID 2769668136, 37 clinicians

Practice addresses (Care Compare)

1140 Route 72 W
Manahawkin, NJ 08050-2412
Phone (609) 597-6011

19 Davis Ave
Neptune, NJ 07753-4488

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 Route 33
Neptune, NJ 07753

2503 S Ave a
Suite 2
Yuma, AZ 85364-7174
Phone (928) 783-0092

30 Prospect Ave
Hackensack, NJ 07601-1915

3600 Route 66
FL 3
Neptune, NJ 07753

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 836-4504

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-41502KSMDNeurology Physician
T4928MDMDNeurology Physician
MD184424ORMDNeurology Physician
69811WIMDNeurology Physician
ME103112FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Dec 1, 2024 Accepting new patients
University Health System, Inc Current Accepting new patients
Bio Family Clinic Inc Neurology CurrentSince Nov 1, 2024 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Jun 7, 2024 Accepting new patients
Billings Clinic CurrentSince Jun 7, 2024 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Neurology CurrentSince Feb 25, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Hospitalist CurrentSince Dec 1, 2024 Accepting new patients
University Health System Inc CurrentSince Sep 1, 2024 Accepting new patients
Saint Thomas Medical Partners Neurology CurrentSince Oct 1, 2017 Accepting new patients
University Health System, Inc Neurology CurrentSince Sep 1, 2024 Accepting new patients
Neuroscience Consultants LLP Neurology PastSince Aug 1, 2004 Accepting new patients

Locations

11518 N Frontage Rd
Yuma, AZ 85367
Phone (928) 342-6500

11611 S Foothills Blvd
Ste G
Yuma, AZ 85367
Phone (520) 476-3503

2503 S Avenue A
Ste 2
Yuma, AZ 85364
Phone (928) 344-3350

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: agupta1019953@direct.novanthealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 12

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1174660278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8198 WALNUT HILL LN STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314316",
            "telephone_number": "214-345-4440",
            "fax_number": "214-345-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8198 WALNUT HILL LN STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-345-4440",
            "fax_number": "214-345-4286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292245",
            "country_code": "US",
            "telephone_number": "615-396-5822",
            "fax_number": "615-396-6751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3311 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778800",
            "country_code": "US",
            "telephone_number": "541-222-3298",
            "fax_number": "541-338-1070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 SW 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666041301",
            "country_code": "US",
            "telephone_number": "785-354-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "53 Nautilus Dr",
            "address_purpose": "LOCATION",
            "city": "Manahawkin",
            "state": "NJ",
            "postal_code": "080502465",
            "country_code": "US",
            "telephone_number": "609-987-8870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11518 N Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853678994",
            "country_code": "US",
            "telephone_number": "928-342-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "AMITABH",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "04-41502",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD184424",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME103112",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "56538",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "T4928",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "69811",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25IA12293000",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME103112",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P5074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020725800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "FO946Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.