Amit Gupta, D.O.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

20A11210 Issued in CA

Practice address

134 Vision Park Blvd Ste 100
Shenandoah, TX 77384-3030

Phone

(936) 242-1437

Fax

(936) 447-9672

NPI assigned

Jan 17, 2007

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 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

Pain Management

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

1960 Physician AssociatesGroup PAC ID 1153611975, 19 clinicians

Texas Regional PhysiciansGroup PAC ID 5193149706, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIBDCA
• FHIR API: https://api.platform.athenahealth.com/25596/brand/1/csg/1/fhir/r4

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.

• 1960 Physician Associates

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1215391941
  Medicare reassignment Care Compare group NPD
• Bright Health Physician Associates

  • Multi-Specialty Clinic/Center
  • Lumberton, TX
  • NPI 1760298160
  Medicare reassignment NPD Authorized official
• Texas Regional Physicians

  • Interventional Pain Medicine Physician
  • Houston, TX
  • NPI 1467011643
  Medicare reassignment Care Compare group NPD
• Mark Ciaglia, DO PC

  dba Woodlands Center for Special Surgery

  • Surgery Physician
  • Shenandoah, TX
  • NPI 1003277195
  Medicare reassignment NPD
• Paramount MD PA

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1518610393
  Medicare reassignment NPD
• Pulse Physician Organization PLLC

  • Cardiovascular Disease Physician
  • Huntsville, TX
  • NPI 1073087599
  Medicare reassignment NPD
• Paramount MD PA

  dba Paramount Famly Medical Clinic

  • Urgent Care Clinic/Center
  • Houston, TX
  • NPI 1144113382
  NPD
• Pulse Healthcare System LLC

  • Cardiovascular Disease Physician
  • Tomball, TX
  • NPI 1609753763
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1326190919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 VISION PARK BLVD STE 100",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 VISION PARK BLVD STE 100",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843030",
            "telephone_number": "936-242-1437",
            "fax_number": "936-447-9672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9851 Fm 1097 Rd W Ste 110",
            "address_purpose": "LOCATION",
            "city": "Willis",
            "state": "TX",
            "postal_code": "773185852",
            "country_code": "US",
            "telephone_number": "936-228-7670",
            "fax_number": "936-228-7666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "AMIT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "20A11210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A11210",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "S9139",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriela Grimbly
• Jill Grounds, M.D.
• Brooke Michelle Guilbeaux, AGACNP-BC, AGPCNP-C
• Mariah Gulick
• Debra Jane Gummelt, DO
• Chanthy Gutierrez, NP
• William Marshall Guy, M.D.
• Jennifer L Gwynne, APRN, FNP-C
• Shah Khaled Habib, MD
• Asha Nshambi Hadley, RD

• Pain Medicine (Anesthesiology) Physician in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.