Individual provider Active NPI

Dave S Gupta, M.D.

  • Allergy & Immunology Physician
  • Lansing, MI
National Provider Identifier
1184886152
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
4301102279 Issued in MI
Practice address
4265 Five Oaks Dr
Lansing, MI 48911-4214
Phone
(517) 484-2261
Fax
(517) 484-6666
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 4301102279 MI
Allergy & Immunology Physician 207K00000X 4301102279 MI Primary

Addresses

Primary practice location

4265 Five Oaks Dr
Lansing, MI 48911-4214

Mailing address

4265 Five Oaks Dr
Lansing, MI 48911-4214
Phone (517) 484-2261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130930000273 MI Practitioner - Allergy/Immunology 2466686720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Northwestern University Feinberg Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Specialists of Lansing PLLCGroup PAC ID 6305076399, 2 clinicians

Practice addresses (Care Compare)

4265 Five Oaks Dr
Lansing, MI 48911-4214
Phone (517) 484-2261

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301102279MIMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Specialists of Lansing, PLLC CurrentSince Apr 1, 2014 Accepting new patients

Locations

4265 Five Oaks Dr
Lansing, MI 48911
Phone (517) 484-2261

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1184886152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 FIVE OAKS DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114214",
            "telephone_number": "517-484-2261",
            "fax_number": "517-484-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 FIVE OAKS DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114214",
            "telephone_number": "517-484-2261",
            "fax_number": "517-484-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "DAVE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "MI",
            "license": "4301102279",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301102279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.