Mohan L Gupta, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0039177 Issued in FL

Practice address

8396 W Oakland Park Blvd
Sunrise, FL 33351-7372

Phone

(954) 742-0112

Fax

(954) 746-8202

NPI assigned

Apr 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Internal Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mohan L Gupta MD PAGroup PAC ID 0648299925, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FBABCD/Endpoint/FBABCD

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.

• Mohan L Gupta MD PA

  • Multi-Specialty Clinic/Center
  • Sunrise, FL
  • NPI 1144278185
  Medicare reassignment Care Compare group NPD Authorized official
• North Broward Hospital District

  • Pediatric Hematology & Oncology Physician
  • Fort Lauderdale, FL
  • NPI 1881622850
  NPD (past)

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1295791994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8396 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517372",
            "telephone_number": "954-742-0112",
            "fax_number": "954-746-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8396 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517372",
            "telephone_number": "954-742-0112",
            "fax_number": "954-746-8202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4216 S University Dr",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333283007",
            "country_code": "US",
            "telephone_number": "954-742-0112",
            "fax_number": "954-746-8202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "MOHAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0039177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "94170",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067560100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Guirand
• Sandra Michelle Guiteau, NP
• Rolando Jet Bacalzo Gumba II
• Ingrid M. Gunnlaugsson, CRNA
• Meenu Gupta
• Aymee Gura, BCABA
• Steven V Gurland, M.D.
• Yevgeniy E Gurskiy, CRNA
• Aleah Gutierrez
• Erika Gutierrez

• Internal Medicine Physician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.

Verify at the official NPI Registry.