Individual provider Active NPI

Indranil Dasgupta, M.D.

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1205856143
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD067078L Issued in PA
Practice address
8001 Roosevelt Blvd
Suite 403
Philadelphia, PA 19152-3038
Phone
(215) 676-8300
Fax
(215) 698-7707
NPI assigned
Jul 21, 2006
Last updated
May 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD067078L PA
Cardiovascular Disease Physician 207RC0000X 25MA07005600 NJ
Cardiovascular Disease Physician 207RC0000X MD067078L PA Primary

Addresses

Primary practice location

8001 Roosevelt Blvd
Suite 403
Philadelphia, PA 19152-3038

Mailing address

8001 Roosevelt Blvd
Suite 403
Philadelphia, PA 19152-3038
Phone (215) 676-8300

Other identifiers 2

IdentifierTypeStateIssuer
8805806MedicaidNJ
001892520MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20050201000446 PA Practitioner - Cardiovascular Disease (Cardiology) 0547211153 Reassigns benefits to 2 organizations
I20170706002178 NJ Practitioner - Cardiovascular Disease (Cardiology) 0547211153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University Physicians of New Jersey PCGroup PAC ID 9931325131, 117 clinicians

Practice addresses (Care Compare)

443 Laurel Oak Rd
Suite 130
Voorhees, NJ 08043-4419
Phone (856) 741-0122

925 Chestnut St
FL 4
Philadelphia, PA 19107-4207
Phone (215) 955-5772

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc Internal Medicine Current Accepting new patients
Jefferson University Physicians of New Jersey, P.C. Internal Medicine CurrentSince May 1, 2017 Accepting new patients
Jefferson University Physicians Internal Medicine CurrentSince Jul 1, 2002 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Jul 1, 2022 Accepting new patients
Methodist Associates in Healthcare, Inc Cardiovascular Disease CurrentSince Jul 1, 2022 Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

443 Laurel Oak Rd
Ste 130
Voorhees, NJ 08043
Phone (856) 741-0122

111 S 11th St
Ste 8490
Philadelphia, PA 19107
Phone (215) 955-6161

8001 Roosevelt Blvd
Ste 403
Philadelphia, PA 19152
Phone (215) 333-0304

925 Chestnut St
Philadelphia, PA 19107
Phone (215) 955-5050

925 Chestnut St
Fl 4
Philadelphia, PA 19107
Phone (215) 955-5772

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

9501 Roosevelt Blvd
Ste 206
Philadelphia, PA 19114
Phone (215) 671-8900

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 2

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1205856143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 ROOSEVELT BLVD",
            "address_2": "SUITE 403",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523038",
            "telephone_number": "215-676-8300",
            "fax_number": "215-698-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 ROOSEVELT BLVD",
            "address_2": "SUITE 403",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523038",
            "telephone_number": "215-676-8300",
            "fax_number": "215-698-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASGUPTA",
        "first_name": "INDRANIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD067078L",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA07005600",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD067078L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8805806",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001892520",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.