Active NPI
Jitendrakumar S Gupta, M.D.
- Pulmonary Disease Physician
- Sioux City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD-34944
- Practice address
- 2730 Pierce St
Suite 401
Sioux City, IA 51104-3796 - Phone
- (712) 255-8827
- Fax
- (712) 255-4862
- NPI assigned
- Oct 27, 2006
- Last updated
- Jul 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H83368 | IA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | H83368 | IA | |
| Pulmonary Disease Physician | 207RP1001X | H83368 | IA | |
| Pulmonary Disease Physician | 207RP1001X | MD-34944 | IA | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | H83368 | IA |
Addresses
Primary practice location
2730 Pierce St
Suite 401
Sioux City, IA 51104-3796
Mailing address
2730 Pierce St
Suite 401
Sioux City, IA 51104-3796
Phone (712) 255-8827
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00724608 | Other | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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
- Pulmonary Disease
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2730 Pierce St
Suite 401
Sioux City, IA 51104-3766
Phone (712) 255-8827
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5581 | SD | MD | Pharmacist |
| H83368 | IA | MD | Internal Medicine Physician |
| MD-34944 | IA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Northwest Iowa Hospital Corporation | Current | Accepting new patients | |
| Spencer Municipal Hospital | Current | Accepting new patients | |
| Spencer Municipal Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Spencer Municipal Hospital | Current | Accepting new patients | |
| Spencer Municipal Hospital | Current | Accepting new patients | |
| Trinity Medical Center | Internal Medicine | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
100 Medical Pkwy
Denison, IA 51442
Phone (712) 265-2500
100 Medical Pkwy
Ste A
Denison, IA 51442
Phone (712) 263-5021
2004 Okoboji Ave
Milford, IA 51351
Phone (712) 338-2461
2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000
2730 Pierce St
Ste 205
Sioux City, IA 51104
Phone (712) 279-3383
2730 Pierce St
Ste 401
Sioux City, IA 51104
801 5th St
Sioux City, IA 51101
Phone (712) 279-2010
1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164
1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800
Interoperability endpoints
- jgupta128221@direct.unitypoint.org
Organizations & group practices 8
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 St. Luke's Regional Medical Center
- Emergency Medical Services (Emergency Medicine) Physician
- Sioux City, IA
- NPI 1215962550
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Internal Medicine
-
dba Hartley Family Care of Spencer Hospital
- Clinic/Center
- Hartley, IA
- NPI 1225767338
-
dba Iowa Spine Care
- Orthopaedic Surgery Physician
- Spencer, IA
- NPI 1316432826
-
dba Avera Medical Group Spencer, a Department of Spencer Hospital
- Family Medicine Physician
- Spencer, IA
- NPI 1780062273
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Storm Lake, IA
- NPI 1134191653
-
- Critical Access Hospital
- Onawa, IA
- NPI 1730253360
-
- Critical Access Hospital
- Le Mars, IA
- NPI 1326109315
-
dba St Lukes Regional Medical Center
- General Acute Care Hospital
- Sioux City, IA
- NPI 1962594622
-
dba Cherokee Regional Medical Center
- Critical Access Hospital
- Primghar, IA
- NPI 1689640500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1285710764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 PIERCE ST",
"address_2": "SUITE 401",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511043796",
"telephone_number": "712-255-8827",
"fax_number": "712-255-4862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 PIERCE ST",
"address_2": "SUITE 401",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511043796",
"telephone_number": "712-255-8827",
"fax_number": "712-255-4862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "JITENDRAKUMAR",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "H83368",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IA",
"license": "H83368",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IA",
"license": "H83368",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IA",
"license": "MD-34944",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "IA",
"license": "H83368",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00724608",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.