Individual provider Active NPI

Neetu Gupta, MD

  • Obstetrics Physician
  • Beavercreek, OH
National Provider Identifier
1194012484
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
35.143891 Issued in OH
Practice address
3535 Pentagon Blvd Ste 220
Beavercreek, OH 45431-1705
Phone
(937) 429-7350
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 54386 TN
Obstetrics Physician 207VX0000X 35.143891 OH Primary
Obstetrics & Gynecology Physician 207V00000X 01099042A IN

Addresses

Primary practice location

3535 Pentagon Blvd Ste 220
Beavercreek, OH 45431-1705

Mailing address

1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310

Other practice location 1

2001 W 86th St
Indianapolis, IN 46260-1902
Phone (317) 415-7921

Other practice location 2

1275 E College St
Suite 1
Pulaski, TN 38478-4500
Phone (931) 292-6644

Other practice location 3

1040 Delaware Ave
Marion, OH 43302-6416
Phone (740) 383-8080

Other identifiers 2

IdentifierTypeStateIssuer
0471416MedicaidOH
Q022143MedicaidTN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ngupta785044@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OH, IN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160803002581 TN Practitioner - Obstetrics/Gynecology 2062706716 Reassigns benefits to 2 organizations
I20220118002551 OH Practitioner - Obstetrics/Gynecology 2062706716 Reassigns benefits to 3 organizations
I20260411000116 IN Practitioner - Obstetrics/Gynecology 2062706716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

3535 Pentagon Blvd
Beavercreek, OH 45431-1705

3535 Pentagon Park Blvd
Suite 400
Dayton, OH 45431-1705
Phone (937) 490-2264

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

Hospital & facility affiliations

  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01099042AINMDObstetrics & Gynecology Physician
83901GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Tennessee, P.C. Obstetrics & Gynecology CurrentSince May 12, 2019 Accepting new patients
Amg-Hillside LLC CurrentSince Jul 1, 2016 Accepting new patients
Kettering Independent Medical Group Inc Obstetrics & Gynecology CurrentSince Dec 29, 2022 Accepting new patients
Union Physician Services, LLC CurrentSince Jan 14, 2025 Accepting new patients
Amg-Hillside LLC CurrentSince Jul 1, 2016 Accepting new patients
Obhg Ohio Corp Obstetrics & Gynecology CurrentSince Nov 1, 2025 Accepting new patients
Amg-Hillside LLC Current Accepting new patients
Beavercreek Medical Center Past Accepting new patients
The Union Hospital Association Past Accepting new patients

Locations

3535 Pentagon Blvd
Ste 220
Beavercreek, OH 45431
Phone (937) 429-7350

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

2100 Emmanuel Way
Ste E
Springfield, OH 45502
Phone (866) 224-9472

600 W Main St
Ste 330
Troy, OH 45373
Phone (937) 429-7350

382 N Detroit St
Xenia, OH 45385
Phone (937) 376-4460

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

1275 E College St
Ste 1
Pulaski, TN 38478
Phone (931) 207-8668

204 Hillside Dr
Pulaski, TN 38478
Phone (931) 363-3514

Interoperability endpoints

  • Direct secure messaging: gupta_neetu@yourcarecommunity.org

Organizations & group practices 10

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 1

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": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1194012484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-762-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PENTAGON BLVD STE 220",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454311705",
            "telephone_number": "937-429-7350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 W 86th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601902",
            "country_code": "US",
            "telephone_number": "317-415-7921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 E College St",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "TN",
            "postal_code": "384784500",
            "country_code": "US",
            "telephone_number": "931-292-6644",
            "fax_number": "931-292-6648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1040 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433026416",
            "country_code": "US",
            "telephone_number": "740-383-8080",
            "fax_number": "740-383-8084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "NEETU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "54386",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OH",
            "license": "35.143891",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01099042A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0471416",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q022143",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngupta785044@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "3535 Pentagon Blvd Ste 220",
            "city": "Beavercreek",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454311705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "3535 Pentagon Blvd Ste 220",
            "city": "Beavercreek",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454311705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.