Active NPI
Sushil Gupta, M.D.
- Pulmonary Disease Physician
- New Haven, CT
National Provider Identifier
1174954960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 36095
- Practice address
- 136 Sherman Ave
Suite#504
New Haven, CT 06511-5238 - Phone
- (203) 772-2499
- Fax
- (203) 785-8818
- NPI assigned
- Dec 5, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 36095 | CT | Primary |
| Internal Medicine Physician | 207R00000X | 036095 | CT |
Addresses
Primary practice location
136 Sherman Ave
Suite#504
New Haven, CT 06511-5238
Mailing address
136 Sherman Ave
Suite#504
New Haven, CT 06511-5238
Phone (203) 772-2499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036095 | CT | MD | Internal Medicine Physician |
| 36095 | CT | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Care, PC | Pulmonary Disease | Current | Accepting new patients |
| Complete Wound Care LLC | Past | Accepting new patients |
Locations
2447 Whitney Ave
Ste 202
Hamden, CT 06518
Phone (203) 288-8300
136 Sherman Ave
Ste 504
New Haven, CT 06511
Phone (203) 684-2111
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- New Haven, CT
- NPI 1215144100
-
- General Practice Physician
- Wallingford, CT
- NPI 1033801568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399248000000",
"number": "1174954960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 SHERMAN AVE",
"address_2": "SUITE#504",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115238",
"telephone_number": "203-772-2499",
"fax_number": "203-785-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 SHERMAN AVE",
"address_2": "SUITE#504",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115238",
"telephone_number": "203-772-2499",
"fax_number": "203-785-8818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "SUSHIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-05",
"last_updated": "2014-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CT",
"license": "36095",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "036095",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.