Individual provider Active NPI

Isha Gupta, MD

  • Internal Medicine Physician
  • Sun City, AZ
National Provider Identifier
1255598744
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
49904 Issued in AZ
Practice address
14815 N del Webb Blvd
Sun City, AZ 85351-2145
Phone
(623) 977-3300
Fax
(623) 977-6808
NPI assigned
May 21, 2008
Last updated
Oct 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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 49904 AZ Primary

Addresses

Primary practice location

14815 N del Webb Blvd
Sun City, AZ 85351-2145

Mailing address

14815 N del Webb Blvd
Sun City, AZ 85351-2145
Phone (623) 977-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150303002253 AZ Practitioner - Internal Medicine 4385776087 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ace Health and Wellness Center PLLCGroup PAC ID 4486029006, 3 clinicians
S P Gill MD PCGroup PAC ID 3072773845, 17 clinicians

Practice addresses (Care Compare)

14815 N del Webb Blvd
Sun City, AZ 85351-2145
Phone (623) 248-1717

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49904AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Isha Gupta MD, PLLC Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Chhabra Quality Care LLC Current Accepting new patients
S P Gill MD PC CurrentSince May 1, 2023 Accepting new patients
Ace Health and Wellness Center PLLC Internal Medicine CurrentSince Feb 21, 2023 Accepting new patients
Ubh of Phoenix LLC Past Accepting new patients
Sun Valley Internist LLC PastSince May 1, 2023 Accepting new patients

Locations

2545 W Quail Ave
Phoenix, AZ 85027
Phone (602) 455-5700

3550 E Pinchot Ave
Phoenix, AZ 85018
Phone (602) 952-3900

14815 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 745-6015

14815 N Del Webb Blvd
#2
Sun City, AZ 85351
Phone (602) 977-3300

14815 N Del Webb Blvd
Ste 1
Sun City, AZ 85351
Phone (623) 977-3300

Interoperability endpoints

  • Direct secure messaging: isha.gupta.1@29397.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1255598744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14815 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512145",
            "telephone_number": "623-977-3300",
            "fax_number": "623-977-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512145",
            "telephone_number": "623-977-3300",
            "fax_number": "623-977-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ISHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "49904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.