Ganesh Prasad Gupta, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J4649 Issued in TX

Practice address

1610 James Bowie Dr
Ste A114
Baytown, TX 77520

Phone

(281) 422-3576

Fax

(281) 422-0295

NPI assigned

Feb 9, 2006

Last updated

Jul 12, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Family Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Signature Health Services Home health agency, Baytown, TX, CCN 678499
• Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Ganesh P Gupta Mdpa

  • Family Medicine Physician
  • Baytown, TX
  • NPI 1457657090
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Immanuel Home Health Care Inc

  dba Signature Health Services

  • Home Health Agency
  • Baytown, TX
  • NPI 1548319288
  Care Compare affiliation
• San Jacinto Methodist Hospital

  dba Houston Methodist Baytown Hospital

  • General Acute Care Hospital
  • Baytown, TX
  • NPI 1891789772
  Care Compare affiliation

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1316910433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 975",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775220975",
            "telephone_number": "281-422-3576",
            "fax_number": "281-422-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 JAMES BOWIE DR",
            "address_2": "STE A114",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77520",
            "telephone_number": "281-422-3576",
            "fax_number": "281-422-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "GANESH",
        "middle_name": "PRASAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129715206",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kory R Guidry, M.D.
• Gulf Coast Endodontics West U PLLC
• Gulf Coast II Lithotripsy LP
• Gulf Coast Medical
• Gulf Coast Sleep Diagnostic Center
• Aida Gutierrez, LVN
• Orlando David Gutierrez, M.D.
• Sandra Gutierrez, RN
• H-E-B, LP (HEB Pharmacy #742)
• H-E-B, LP (HEB Pharmacy #741)

• Family Medicine Physician in Baytown, TX
• Providers in Baytown, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.