Active NPI
Ashok Gupta, M.D.
- Internal Medicine Physician
- Sylvan Lake, MI
National Provider Identifier
1285788463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301042770
- Practice address
- 2111 Orchard Lake Rd
Sylvan Lake, MI 48320-1785 - Phone
- (248) 681-6577
- Fax
- (248) 732-7136
- NPI assigned
- Jan 23, 2007
- Last updated
- Mar 25, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301042770 | MI | Primary |
Addresses
Primary practice location
2111 Orchard Lake Rd
Sylvan Lake, MI 48320-1785
Mailing address
PO Box 645
Keego Harbor, MI 48320-0645
Phone (248) 681-6577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250319001228 | MI | Order and Referring Only - Internal Medicine | 4486684065 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embrace Home Physicians PLLC | Internal Medicine | Past | Accepting new patients |
| Embrace Home Health Physicians | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Keego Harbor, MI
- NPI 1114118981
-
- Family Medicine Physician
- Southfield, MI
- NPI 1598779282
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1548704778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364169600000",
"number": "1285788463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 645",
"city": "KEEGO HARBOR",
"state": "MI",
"postal_code": "483200645",
"telephone_number": "248-681-6577",
"fax_number": "248-732-7136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 ORCHARD LAKE RD",
"city": "SYLVAN LAKE",
"state": "MI",
"postal_code": "483201785",
"telephone_number": "248-681-6577",
"fax_number": "248-732-7136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "ASHOK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2013-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301042770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sylvan Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.