Active NPI
Nalini Gupta, MBBS,DCH
- Pediatrics Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD60095203
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050019 | GA | MD | Pediatrics Physician |
| MD60095203 | WA | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | 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
- ngupta333078@wm.providencedirect.org
- 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.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
dba Providence Medical Group
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
-
dba Everett Medical Center
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1669619870
-
dba Providence North East Washington Medical Group
- Family Medicine Physician
- Colville, WA
- NPI 1083968879
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.