Individual provider Active NPI

Radhika Gupta, M.D.

  • Internal Medicine Physician
  • Casselberry, FL
National Provider Identifier
1255317103
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME85114 Issued in FL
Practice address
946 State Road 436
Casselberry, FL 32707-5633
Phone
(407) 831-3141
Fax
(407) 831-7873
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME85114 FL Primary

Addresses

Primary practice location

946 State Road 436
Casselberry, FL 32707-5633

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (844) 630-0700

Other identifiers 1

IdentifierTypeStateIssuer
270980500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address radhika.gupta.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040421001528 FL Practitioner - Internal Medicine 2163418542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerwell Senior Primary Care FL Inc.Group PAC ID 9830184738, 100 clinicians

Practice addresses (Care Compare)

946 Semoran Blvd
Casselberry, FL 32707-5633
Phone (407) 831-3141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85114FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care FL Inc Internal Medicine CurrentSince Jun 16, 2003 Accepting new patients
Centerwell Senior Primary Care FL Inc Internal Medicine Current Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Internal Medicine Current Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Internal Medicine CurrentSince Jun 16, 2003 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Internal Medicine Current Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Internal Medicine Current Accepting new patients

Locations

360 Douglas Ave
Altamonte Springs, FL 32714
Phone (407) 788-8200

1049 W Orange Blossom Trl
Apopka, FL 32712
Phone (407) 884-2952

946 State Road 436
Casselberry, FL 32707
Phone (407) 831-3141

2577 Simpson Rd
Kissimmee, FL 34744
Phone (407) 348-8338

485 S Ronald Reagan Blvd
Longwood, FL 32750
Phone (407) 834-4849

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

14075 Town Loop Blvd
Orlando, FL 32837
Phone (407) 438-5858

207 W Gore St
Ste 200
Orlando, FL 32806
Phone (407) 409-8118

11242 E Colonial Dr
Orlando, FL 32817
Phone (402) 273-7373

6320 Old Winter Garden Rd
Orlando, FL 32835
Phone (407) 253-3535

3333 Conway Rd
Orlando, FL 32812
Phone (321) 281-1000

5997 S Goldenrod Rd
Orlando, FL 32822
Phone (407) 241-8957

255 N Lakemont Ave
Ste 101
Winter Park, FL 32792
Phone (407) 647-6070

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1255317103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "844-630-0700",
            "fax_number": "877-374-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 STATE ROAD 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075633",
            "telephone_number": "407-831-3141",
            "fax_number": "407-831-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "RADHIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME85114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270980500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "radhika.gupta.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "946 State Road 436",
            "city": "Casselberry",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327075633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

Verify at the official NPI Registry.