NPIMap

Individual provider Active NPI

Sandeep S Gupta, M.D.

  • Pulmonary Disease Physician
  • Sioux City, IA
National Provider Identifier
1194990945
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD-42675 Issued in IA
Practice address
2730 Pierce St
Suite 401
Sioux City, IA 51104-3796
Phone
(712) 255-8827
Fax
(712) 255-4862
NPI assigned
Apr 23, 2008
Last updated
Aug 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X N8921 TX
Pulmonary Disease Physician 207RP1001X MD-42675 IA Primary

Addresses

Primary practice location

2730 Pierce St
Suite 401
Sioux City, IA 51104-3796

Mailing address

2730 Pierce St
Suite 401
Sioux City, IA 51104-3796
Phone (712) 255-8827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150414002450 SD Practitioner - Internal Medicine 3678742723 Reassigns benefits to 1 organization
I20150903000074 IA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3678742723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2730 Pierce St
Suite 401
Sioux City, IA 51104-3766
Phone (712) 255-8827

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-42675IAMDPulmonary Disease Physician
N8921TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Sanford Clinic CurrentSince Feb 1, 2015 Accepting new patients
Northwest Iowa Hospital Corporation CurrentSince Nov 7, 2021 Accepting new patients
Sanford Clinic CurrentSince Feb 1, 2015 Accepting new patients
Iowa Physicians Clinic Medical Foundation Pulmonary Disease CurrentSince Sep 6, 2015 Accepting new patients
Sanford Clinic Current Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368

100 Medical Pkwy
Denison, IA 51442
Phone (712) 265-2500

1600 Diamond St
Onawa, IA 51040
Phone (712) 423-2311

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 255-2324

2730 Pierce St
Ste 205
Sioux City, IA 51104
Phone (712) 279-3383

2730 Pierce St
Ste 401
Sioux City, IA 51104

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

Interoperability endpoints

  • Direct secure messaging: sgupta268462@direct.unitypoint.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1194990945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 PIERCE ST",
            "address_2": "SUITE 401",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043796",
            "telephone_number": "712-255-8827",
            "fax_number": "712-255-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PIERCE ST",
            "address_2": "SUITE 401",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043796",
            "telephone_number": "712-255-8827",
            "fax_number": "712-255-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SANDEEP",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "N8921",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IA",
            "license": "MD-42675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.