Individual provider Active NPI

Rema Aneja Gupta, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Orlando, FL
National Provider Identifier
1194914804
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME105761 Issued in FL
Practice address
11616 Lake Underhill Rd Ste 205
Orlando, FL 32825-4466
Phone
(407) 601-5309
Fax
(407) 482-8698
NPI assigned
Oct 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036-115553 IL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 87666 SC
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME105761 FL Primary

Addresses

Primary practice location

11616 Lake Underhill Rd Ste 205
Orlando, FL 32825-4466

Mailing address

11616 Lake Underhill Rd Ste 215
Orlando, FL 32825-4465
Phone (407) 482-7788

Other practice location 1

3400 Quadrangle Blvd
Orlando, FL 32817-1492
Phone (407) 266-3627

Other practice location 2

2 Medical Park Rd Ste 506
Columbia, SC 29203-6876
Phone (803) 434-3930

Other practice location 3

130 Ridge Center Dr
Davenport, FL 33837-6413
Phone (866) 234-8534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 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
I20100206000254 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 9830270644 Reassigns benefits to 3 organizations
I20240610000313 OH Practitioner - Internal Medicine 9830270644 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105761FLMDEndocrinology, Diabetes & Metabolism Physician
036-115553ILMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Health Care, Inc CurrentSince Feb 10, 2025 Accepting new patients
The University of Central Florida Board of Trustees CurrentSince Oct 27, 2014 Accepting new patients
Central Florida Health Care, Inc. Current Accepting new patients
The University of Central Florida Board of Trustees CurrentSince Oct 27, 2014 Accepting new patients
Ohiohealth Corporation Endocrinology, Diabetes & Metabolism CurrentSince Jun 1, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2024 Accepting new patients
Central Florida Health Care, Inc. CurrentSince Feb 10, 2025 Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Orlando Health Inc Past Accepting new patients
Central Florida Health Care Inc Past Accepting new patients
Central Florida Health Care, Inc. Past Accepting new patients
Central Florida Health Care, Inc Past Accepting new patients

Locations

950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000

1190 E Church St
Bartow, FL 33830
Phone (863) 533-1601

130 Ridge Center Dr
Davenport, FL 33837
Phone (866) 234-8535

109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891

705 Ingraham Ave
Haines City, FL 33844
Phone (863) 291-3314

305 W Central Ave
Lake Wales, FL 33853
Phone (863) 678-4144

305 W Central Ave
Fl Heal
Lake Wales, FL 33853

601 S Florida Ave
Ste 6
Lakeland, FL 33801
Phone (863) 688-0841

903 Lowry Ave
Lakeland, FL 33801

1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600

106 NW 9th Ave
Mulberry, FL 33860
Phone (863) 425-6200

9975 Tavistock Lakes Blvd
Ste 160
Orlando, FL 32827
Phone (407) 266-3627

3400 Quadrangle Blvd
Orlando, FL 32817
Phone (407) 266-3627

12424 Research Pkwy
Ste 155
Orlando, FL 32826
Phone (407) 249-4770

807 Cobb Ct
Wauchula, FL 33873

201 Magnolia Ave SW
Winter Haven, FL 33880
Phone (863) 229-7950

1514 1st St N
Winter Haven, FL 33881
Phone (863) 291-5110

47 5th St NW
Winter Haven, FL 33881

Dept L3652
Columbus, OH 43260

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

9085 Southern St
Ste A200
Orient, OH 43146
Phone (614) 277-4654

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rema.gupta.1@12125.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1194914804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11616 LAKE UNDERHILL RD STE 215",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254465",
            "telephone_number": "407-482-7788",
            "fax_number": "407-482-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11616 LAKE UNDERHILL RD STE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254466",
            "telephone_number": "407-601-5309",
            "fax_number": "407-482-8698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Quadrangle Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328171492",
            "country_code": "US",
            "telephone_number": "407-266-3627",
            "fax_number": "407-882-4799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Medical Park Rd Ste 506",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036876",
            "country_code": "US",
            "telephone_number": "803-434-3930",
            "fax_number": "803-540-1040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Ridge Center Dr",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338376413",
            "country_code": "US",
            "telephone_number": "866-234-8534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "REMA",
        "middle_name": "ANEJA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036-115553",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SC",
            "license": "87666",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME105761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.