Individual provider Active NPI

Sandeep Gupta, M.D.

  • Rheumatology Physician
  • Bronx, NY
National Provider Identifier
1194794305
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
212451 Issued in NY
Practice address
3594 E Tremont Ave
East Tremont Urgent Medical Care
Bronx, NY 10465-2032
Phone
(718) 597-5800
Fax
(718) 829-4118
NPI assigned
Mar 17, 2006
Last updated
Nov 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 212451 NY Primary

Addresses

Primary practice location

3594 E Tremont Ave
East Tremont Urgent Medical Care
Bronx, NY 10465-2032

Mailing address

PO Box 1012
East Tremont Urgent Medical Care
Bronx, NY 10465-0612
Phone (718) 597-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040622000780 NY Practitioner - RheumatologyPractitioner - Internal Medicine 6406831619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

206 W Park Ave
Long Beach, NY 11561-3250
Phone (516) 897-3885

2911 Barkley Ave
Bronx, NY 10465-2125
Phone (718) 931-0905

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Long Beach Rheumatology, PC Rheumatology CurrentSince Oct 1, 2004 Accepting new patients
South Island Medical Associates PC Past Accepting new patients
Rakesh Gupta Medical P.C. Past Accepting new patients
Ave P Medical PC Past Accepting new patients

Locations

2911 Barkley Ave
Bronx, NY 10465
Phone (718) 931-0905

206 W Park Ave
Long Beach, NY 11561
Phone (516) 544-2100

759 Lincoln Blvd
Long Beach, NY 11561
Phone (516) 889-1600

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIAGCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIAGCD/Endpoint/DIAGCD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1194794305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1012",
            "address_2": "EAST TREMONT URGENT MEDICAL CARE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104650612",
            "telephone_number": "718-597-5800",
            "fax_number": "718-829-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3594 E TREMONT AVE",
            "address_2": "EAST TREMONT URGENT MEDICAL CARE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652032",
            "telephone_number": "718-597-5800",
            "fax_number": "718-829-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SANDEEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "212451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.