Individual provider Active NPI

Vishal Gupta, MD

  • Gastroenterology Physician
  • Orange City, FL
National Provider Identifier
1255449179
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME 85093 Issued in FL
Practice address
2884 Wellness Ave Ste 100
Orange City, FL 32763-8427
Phone
(386) 668-2221
Fax
(386) 668-2228
NPI assigned
Aug 29, 2006
Last updated
Apr 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME 85093 FL Primary

Addresses

Primary practice location

2884 Wellness Ave Ste 100
Orange City, FL 32763-8427

Mailing address

2884 Wellness Ave Ste 100
Orange City, FL 32763-8427
Phone (386) 668-2221

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
I20051115000768 FL Practitioner - Gastroenterology 6608895016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Florida College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastro MD Florida, LLCGroup PAC ID 2264432558, 34 clinicians

Practice addresses (Care Compare)

2884 Wellness Ave
100 Gastroenterology of Greater Orlando
Orange City, FL 32763-8427
Phone (386) 668-2221

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy234
Upper gastrointestinal (GI) endoscopy for acid reflux509

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 85093FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Southwest Florida LLC Gastroenterology CurrentSince Feb 7, 2026 Accepting new patients
Associates in Digestive Health LLC Gastroenterology CurrentSince Feb 7, 2026 Accepting new patients
Gastro MD Florida, LLC Gastroenterology CurrentSince Jan 2, 2007 Accepting new patients

Locations

1435 Dunn Ave
Ste 101
Daytona Beach, FL 32114
Phone (386) 274-7651

929 N Spring Garden Ave
Ste 150
Deland, FL 32720
Phone (386) 339-2692

835 Currency Cir
Ste 1001
Lake Mary, FL 32746
Phone (407) 749-6656

835 Currency Cir
Unit 101
Lake Mary, FL 32746

2728 Enterprise Rd
Ste 100
Orange City, FL 32763
Phone (386) 457-6550

2884 Wellness Ave
Ste 100
Orange City, FL 32763
Phone (386) 668-2221

8300 Red Bug Lake Rd
Ste 2090
Oviedo, FL 32765
Phone (407) 605-6511

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCJIBA
  • Direct secure messaging: vishal.gupta@gog.eclinicaldirectplus.com

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.

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1255449179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2884 WELLNESS AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638427",
            "telephone_number": "386-668-2221",
            "fax_number": "386-668-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2884 WELLNESS AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638427",
            "telephone_number": "386-668-2221",
            "fax_number": "386-668-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "VISHAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME 85093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.