Individual provider Active NPI

Jitendrakumar S Gupta, M.D.

  • Pulmonary Disease Physician
  • Sioux City, IA
National Provider Identifier
1285710764
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD-34944 Issued in IA
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00724608OtherRR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040419000633 IA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 0749275790 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
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

LicenseStateTypeSpecialty
5581SDMDPharmacist
H83368IAMDInternal Medicine Physician
MD-34944IAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Northwest Iowa Hospital Corporation CurrentSince Nov 7, 2021 Accepting new patients
Spencer Municipal Hospital CurrentSince Aug 18, 2003 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Internal Medicine CurrentSince Sep 6, 2015 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Spencer Municipal Hospital CurrentSince Aug 18, 2003 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.