Active NPI
Alicja U Gupta, M.D.
- Internal Medicine Physician
- Quincy, MA
National Provider Identifier
1295731032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 76690
- Practice address
- 21 McGrath Hwy
Ste 202
Quincy, MA 02169-5351 - Phone
- (617) 773-2709
- Fax
- (617) 479-4642
- NPI assigned
- Jun 27, 2005
- Sex
- Female
- 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 | 76690 | MA | Primary |
Addresses
Primary practice location
21 McGrath Hwy
Ste 202
Quincy, MA 02169-5351
Mailing address
21 McGrath Hwy
Ste 202
Quincy, MA 02169-5351
Phone (617) 773-2709
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2027879 | Medicaid | MA | |
| 9715291 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians Associates, Inc. | Past | Accepting new patients | |
| Community Physicians Associates, Inc. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Milton, MA
- NPI 1477832780
-
- Family Medicine Physician
- Milton, MA
- NPI 1538154869
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1295731032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MCGRATH HWY",
"address_2": "STE 202",
"city": "QUINCY",
"state": "MA",
"postal_code": "021695351",
"telephone_number": "617-773-2709",
"fax_number": "617-479-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 MCGRATH HWY",
"address_2": "STE 202",
"city": "QUINCY",
"state": "MA",
"postal_code": "021695351",
"telephone_number": "617-773-2709",
"fax_number": "617-479-4642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "ALICJA",
"middle_name": "U",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "76690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2027879",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9715291",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.