Individual provider Active NPI

Vikas Gupta, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1194144311
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
332872 Issued in NY
Practice address
325 5TH Ave Apt 22H
New York, NY 10016-5042
Phone
(646) 355-8787
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Psychiatry & Neurology) Physician 2084B0002X 332872 NY
Child & Adolescent Psychiatry Physician 2084P0804X 332872 NY
Psychiatry Physician 2084P0800X 332872 NY Primary

Addresses

Primary practice location

325 5TH Ave Apt 22H
New York, NY 10016-5042

Mailing address

325 5TH Ave Apt 22H
New York, NY 10016-5042
Phone (646) 212-1906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200506000849 SC Practitioner - Psychiatry 6305069741 Reassigns benefits to 1 organization
I20221122002512 MA Practitioner - Psychiatry 6305069741 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
332872NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts General Physicians Organization Inc Psychiatry CurrentSince Nov 1, 2022 Accepting new patients
Wellness Psychiatry P.C. Obesity Medicine Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Mar 1, 2020 Accepting new patients
South Carolina Department of Mental Health Accounting Office CurrentSince Mar 1, 2020 Accepting new patients
The General Hospital Corporation CurrentSince Nov 1, 2022 Accepting new patients
Wellness Psychiatry PC Obesity Medicine CurrentSince Nov 24, 2024 Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

1800 Colonial Dr
Columbia, SC 29203
Phone (803) 898-0123

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

2715 Colonial Dr
Columbia, SC 29203
Phone (803) 898-4777

Organizations & group practices 7

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1194144311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 5TH AVE APT 22H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165042",
            "telephone_number": "646-212-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 5TH AVE APT 22H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165042",
            "telephone_number": "646-355-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "VIKAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Obesity Medicine",
            "state": "NY",
            "license": "332872",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "332872",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "332872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.