Active NPI
Eric Gupta, DO
- Internal Medicine Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO3013
- Practice address
- 10624 S Eastern Ave # a-955
Henderson, NV 89052-2982 - Phone
- (702) 407-7700
- Fax
- (027) 407-7016
- NPI assigned
- May 2, 2019
- Last updated
- Oct 17, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DO3013 | NV | Primary |
| Internal Medicine Physician | 207R00000X | SL1423 | NV | |
| General Practice Physician | 208D00000X | DO3013 | NV |
Addresses
Primary practice location
10624 S Eastern Ave # a-955
Henderson, NV 89052-2982
Mailing address
10624 S Eastern Ave # a-955
Henderson, NV 89052-2982
Phone (702) 407-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5495 S Rainbow Blvd
Suite 202
Las Vegas, NV 89118-1873
Phone (725) 205-1249
7495 W Azure Dr
Suite 209
Las Vegas, NV 89130-4440
Phone (702) 407-7700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 62.62 of 100
- Quality
- 60.24
- Improvement activities
- 0
- Cost
- 69.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL1423 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Platinum Hospitalists LLP | Internal Medicine | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | General Practice | Current | Accepting new patients |
| Platinum Hospitalists LLP | Internal Medicine | Current | Accepting new patients |
Locations
701 S Carson St
Ste 200
Carson City, NV 89701
Phone (617) 586-0958
10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700
10624 S Eastern Ave
Ste A995
Henderson, NV 89052
7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 3
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.
-
dba Platinum Continuity and Specialty Clinic
- Internal Medicine Physician
- Henderson, NV
- NPI 1437948726
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba ER at Valley Vista
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1295319085
Hospital
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
-
dba ER at West Craig Road
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1942991245
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1235794520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10624 S EASTERN AVE # A-955",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522982",
"telephone_number": "702-407-7700",
"fax_number": "027-407-7016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10624 S EASTERN AVE # A-955",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522982",
"telephone_number": "702-407-7700",
"fax_number": "027-407-7016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-02",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "DO3013",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "SL1423",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NV",
"license": "DO3013",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.