Organization Active NPI

Lotus Oncology Hematology Inc

  • Hematology & Oncology Physician
  • Easton, MD
National Provider Identifier
1184304602
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
LOTUS ONCOLOGY HEMATOLOGY INC
Practice address
401 Purdy St Ste 102
Easton, MD 21601-4060
Phone
(410) 505-8948
Fax
(410) 834-5526
NPI assigned
Jul 19, 2023
Last updated
Feb 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Dr. Roopa Gupta, MDNPI 1194944496
Title
President
Phone
(410) 505-8948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

401 Purdy St Ste 102
Easton, MD 21601-4060

Mailing address

PO Box 514
Oxford, MD 21654-0514
Phone (410) 505-8948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231003001212 MD Part B Supplier - Clinic/Group Practice 9436503935 Receives reassigned benefits from 1 practitioner
Practice locations: Easton, MD

National Provider Directory

National Provider Directory

Locations

130 Love Point Rd
Ste 106
Stevensville, MD 21666
Phone (443) 825-4050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1184304602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 514",
            "city": "OXFORD",
            "state": "MD",
            "postal_code": "216540514",
            "telephone_number": "410-505-8948",
            "fax_number": "410-834-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PURDY ST STE 102",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014060",
            "telephone_number": "410-505-8948",
            "fax_number": "410-834-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS ONCOLOGY HEMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ROOPA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-505-8948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.