Sandeep S Gupta, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Sioux City, IA
NPI 1194990945 · NPPES record last updated Aug 28, 2015
Key facts
- NPI
- 1194990945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- MD-42675 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwest Iowa Hospital Corporation
Practice addresses (Care Compare)
2730 Pierce St
Suite 401
Sioux City, IA 51104-3766
Phone (712) 255-8827
Hospital & facility affiliations
- St Lukes Regional Medical Center
- Cherokee Regional Medical Center
- Burgess Health Center
- Buena Vista Regional Medical Center
- Floyd Valley Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SD, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150414002450 | SD | Practitioner - Internal Medicine | 3678742723 | Reassigns benefits to 1 organization |
| I20150903000074 | IA | Practitioner - Pulmonary Disease |
3678742723 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-42675 | IA | MD | Pulmonary Disease Physician |
| N8921 | TX | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Pulmonary Disease | Current |
Accepting new patients |
| Sanford Clinic | Current | Accepting new patients | |
| Northwest Iowa Hospital Corporation | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients | |
| Northwest Iowa Hospital Corporation | Past | 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
2730 Pierce St
Ste 205
Sioux City, IA 51104
Phone (712) 279-3383
2730 Pierce St
Ste 401
Sioux City, IA 51104
2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000
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
- sgupta268462@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | N8921 | TX | |
| Pulmonary Disease Physician | 207RP1001X | MD-42675 | IA | Yes |
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
Other providers in Sioux City, IA
- Kailyn Brianne Grunke
- Randy Guerdet
- Janet Guadalupe Guerrero
- Roger A Gunn
- Jitendrakumar S Gupta
- Cynthia Ann Guthmiller
- Vanesa Gutierrez
- Kathryn Ann Haack
- Alex Matthew Habeger
- Colette Hadden
All providers in Sioux City, IA · Pulmonary Disease Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.