Active NPI
Paroni Gupta, NP-C
- Family Nurse Practitioner
- Woodbridge, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0001210984
- Practice address
- 1936 Opitz Blvd
Suite a
Woodbridge, VA 22191-3360 - Phone
- (703) 491-7744
- Fax
- (703) 492-1046
- NPI assigned
- Sep 14, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0001210984 | VA | Primary |
Addresses
Primary practice location
1936 Opitz Blvd
Suite a
Woodbridge, VA 22191-3360
Mailing address
4500 Pond Way
Ste 170
Woodbridge, VA 22192-5596
Phone (571) 542-4950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4500 Pond Way
Suite 170
Woodbridge, VA 22192-5596
Phone (571) 542-4950
Hospital & facility affiliations
- Sentara Home Care Services
- Sentara Northern Virginia Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001210984 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Current | Accepting new patients |
Locations
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
1936 Opitz Blvd
Ste A
Woodbridge, VA 22191
Phone (540) 841-4443
4500 Pond Way
Ste 170
Woodbridge, VA 22192
Phone (571) 542-4950
Interoperability endpoints
- pgupta57410@direct.sentara.net
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Woodbridge, VA
- NPI 1548366404
-
- Home Health Agency
- Dumfries, VA
- NPI 1831414192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1306128558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 POND WAY",
"address_2": "STE 170",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221925596",
"telephone_number": "571-542-4950",
"fax_number": "571-285-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1936 OPITZ BLVD",
"address_2": "SUITE A",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913360",
"telephone_number": "703-491-7744",
"fax_number": "703-492-1046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "PARONI",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-14",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0001210984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.