Active NPI
Neetu Gupta, MD
- Obstetrics Physician
- Beavercreek, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 35.143891
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0471416 | Medicaid | OH | |
| Q022143 | Medicaid | TN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01099042A | IN | MD | Obstetrics & Gynecology Physician |
| 83901 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Tennessee, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Amg-Hillside LLC | Current | Accepting new patients | |
| Kettering Independent Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Union Physician Services, LLC | Current | Accepting new patients | |
| Amg-Hillside LLC | Current | Accepting new patients | |
| Obhg Ohio Corp | Obstetrics & Gynecology | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Canton, OH
- NPI 1043596257
-
- Family Medicine Physician
- Dover, OH
- NPI 1215169826
-
- Orthopaedic Surgery Physician
- Pulaski, TN
- NPI 1710105499
-
- Obstetrics & Gynecology Physician
- Jackson, TN
- NPI 1285924977
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1669422234
-
- Surgery Physician
- Pulaski, TN
- NPI 1073849634
-
- Rural Health Clinic/Center
- Lynnville, TN
- NPI 1407688369
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
- Rural Acute Care Hospital
- Dover, OH
- NPI 1871606921
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.