Individual provider Active NPI

Akshay Gupta, M.D.

  • Gastroenterology Physician
  • Meridian, ID
National Provider Identifier
1255542338
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
M-12188 Issued in ID
Practice address
2235 E Gala St
Meridian, ID 83642-8026
Phone
(208) 887-3724
Fax
(208) 887-1682
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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 M-12188 ID Primary

Addresses

Primary practice location

2235 E Gala St
Meridian, ID 83642-8026

Mailing address

425 W Bannock St
Boise, ID 83702-6035
Phone (208) 343-1702

Other practice location 1

9850 St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 343-6458

Other practice location 2

425 W Bannock St
Boise, ID 83702-6035
Phone (208) 343-6458

Other practice location 3

1200 Garrity Blvd
Nampa, ID 83687-3402
Phone (208) 343-6458

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Boise Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20140102001395 ID Practitioner - GastroenterologyPractitioner - Internal Medicine 4880745876 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Gastroenterology Associates LLPGroup PAC ID 6002708773, 35 clinicians

Practice addresses (Care Compare)

1200 Garrity Blvd
Nampa, ID 83687-3402
Phone (208) 489-1431

1216 Garrity Blvd
Nampa, ID 83687-3402
Phone (208) 343-6458

2235 E Gala St
Meridian, ID 83642-8026
Phone (208) 489-1431

425 W Bannock St
Boise, ID 83702-6035
Phone (208) 489-1431

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy116
Upper gastrointestinal (GI) endoscopy for acid reflux214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-12188IDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Gastroenterology Associates, LLP Gastroenterology CurrentSince Jan 2, 2014 Accepting new patients
Boise Endoscopy Center, LLC CurrentSince Nov 7, 2022 Accepting new patients
Kansas Endoscopy LLC Past Accepting new patients
Southern Idaho Health Partners LLC Past Accepting new patients

Locations

425 W Bannock St
Boise, ID 83702
Phone (208) 343-1702

875 S Vanguard Way
Ste 310
Meridian, ID 83642
Phone (208) 343-6458

2235 E Gala St
Meridian, ID 83642
Phone (208) 489-1431

875 S Vanguard Way
Ste 300
Meridian, ID 83642
Phone (208) 488-0066

1200 Garrity Blvd
Nampa, ID 83687
Phone (208) 343-6458

9850 W St Lukes Dr
Nampa, ID 83687
Phone (208) 205-7282

1216 Garrity Blvd
Nampa, ID 83687
Phone (208) 342-7169

Interoperability endpoints

  • Direct secure messaging: akshaygupta@igallp.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1255542338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026035",
            "telephone_number": "208-343-1702",
            "fax_number": "208-342-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 E GALA ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428026",
            "telephone_number": "208-887-3724",
            "fax_number": "208-887-1682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9850 St Lukes Dr",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836877912",
            "country_code": "US",
            "telephone_number": "208-343-6458",
            "fax_number": "208-343-5031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 W Bannock St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837026035",
            "country_code": "US",
            "telephone_number": "208-343-6458",
            "fax_number": "208-343-5031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Garrity Blvd",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836873402",
            "country_code": "US",
            "telephone_number": "208-343-6458",
            "fax_number": "208-343-5031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "AKSHAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ID",
            "license": "M-12188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Boise",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Boise",
            "address_1": "425 W Bannock St",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837026035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.