Individual provider Active NPI

Nalini Gupta, MBBS,DCH

  • Pediatrics Physician
  • Spokane, WA
National Provider Identifier
1194809111
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD60095203 Issued in WA
Practice address
310 N Riverpoint Blvd
Spokane, WA 99202-1610
Phone
(509) 505-7481
Fax
(509) 606-2515
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 050019 GA
Developmental - Behavioral Pediatrics Physician 2080P0006X MD60095203 WA
Pediatrics Physician 208000000X MD60095203 WA Primary

Addresses

Primary practice location

310 N Riverpoint Blvd
Spokane, WA 99202-1610

Mailing address

412 E Spokane Falls Blvd # 1495
Spokane, WA 99202-2131
Phone (509) 990-5900

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ngupta333078@wm.providencedirect.org Direct
Direct Messaging Address nalini.gupta@rangecommunityclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20100120000014 WA Practitioner - Pediatric Medicine 6507908167 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050019GAMDPediatrics Physician
MD60095203WAMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Sep 1, 2015 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Nov 11, 2009 Accepting new patients
Providence Health & Services Washington CurrentSince Sep 1, 2015 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Nov 11, 2009 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Bavihealth Past Accepting new patients

Locations

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

101 W 8th Ave
#4200
Spokane, WA 99204
Phone (509) 474-5440

105 W 8th Ave
Ste 6045
Spokane, WA 99204
Phone (509) 455-3676

9911 N Nevada St
Spokane, WA 99218
Phone (509) 326-4445

412 E Spokane Falls Blvd
#1495
Spokane, WA 99202

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: ngupta333078@wm.providencedirect.org
  • FHIR API: https://api.platform.athenahealth.com/24571/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1194809111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E SPOKANE FALLS BLVD # 1495",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022131",
            "telephone_number": "509-990-5900",
            "fax_number": "509-606-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N RIVERPOINT BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021610",
            "telephone_number": "509-505-7481",
            "fax_number": "509-606-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "NALINI",
        "credential": "MBBS,DCH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "050019",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "WA",
            "license": "MD60095203",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60095203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngupta333078@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9911 N Nevada St",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992181298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nalini.gupta@rangecommunityclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "310 N Riverpoint Blvd",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992021610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.