Active NPI
Amitabh Gupta, M.D. PH.D.
- Neurology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- P5074
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020725800 | Medicaid | FL | |
| FO946Y | Other | FL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MT, AZ, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 04-41502 | KS | MD | Neurology Physician |
| T4928 | MD | MD | Neurology Physician |
| MD184424 | OR | MD | Neurology Physician |
| 69811 | WI | MD | Neurology Physician |
| ME103112 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| University Health System, Inc | Current | Accepting new patients | |
| Bio Family Clinic Inc | Neurology | Current | Accepting new patients |
| Billings Clinic | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Neurology | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Hospitalist | Current | Accepting new patients |
| University Health System Inc | Current | Accepting new patients | |
| Saint Thomas Medical Partners | Neurology | Current | Accepting new patients |
| University Health System, Inc | Neurology | Current | Accepting new patients |
| Neuroscience Consultants LLP | Neurology | Past | 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
- agupta1019953@direct.novanthealth.org
- 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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Hospitalist
-
- Emergency Care Clinic/Center
- Billings, MT
- NPI 1326104845
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1790738763
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Neurology
-
- Family Medicine Physician
- Cody, WY
- NPI 1346288347
-
- General Practice Physician
- Billings, MT
- NPI 1376598714
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
- NPI 1306609748
-
- Neurology Physician
- Knoxville, TN
- NPI 1417499328
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.