Active NPI
Somil Ashok Gupta, MD
- Family Medicine Physician
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301091405
- Practice address
- 36123 Schoolcraft Rd
Livonia, MI 48150-1216 - Phone
- (734) 464-0887
- Fax
- (734) 402-0254
- NPI assigned
- May 14, 2007
- Last updated
- Apr 18, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.088592 | OH | |
| Family Medicine Physician | 207Q00000X | 4301091405 | MI | Primary |
Addresses
Primary practice location
36123 Schoolcraft Rd
Livonia, MI 48150-1216
Mailing address
36123 Schoolcraft Rd
Livonia, MI 48150-1216
Phone (734) 464-0887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.088592 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mi Pacs 2 PC | Current | Accepting new patients | |
| Michigan Post-Acute Medical Services 1 PC | Current | Accepting new patients | |
| Inpatient Consultants of Michigan PC | Current | Accepting new patients | |
| CS Pacs 3 Midwest LLC | Current | Accepting new patients | |
| Adrian Bay Operating LLC | Past | Accepting new patients | |
| Manors of Canton, LLC | Past | Accepting new patients | |
| Ypsilanti Opco, LLC | Past | Accepting new patients |
Locations
22600 W Main St
Armada, MI 48005
Phone (734) 508-4569
1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200
36123 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 793-6140
3310 W Commerce Rd
Milford, MI 48380
Phone (248) 685-1400
555 Highland Ave
Milford, MI 48381
Phone (248) 684-1564
6827 Whitehall Rd
Whitehall, MI 49461
Phone (231) 893-8730
625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715
Interoperability endpoints
- sgupta26063@direct.trinity-health.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Adrian Bay Rehab and Nursing Center | Skilled nursing facility | Contracted Managing Employee Operational/Managerial Control Adp of the SNF |
Jul 31, 2023 Jan 2, 2025 Jan 9, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Adrian Bay Operating
- Skilled Nursing Facility
- Adrian, MI
- NPI 1316624497
Adp of the SNF, Contracted Managing Employee, Operational/Managerial Control
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Livonia, MI
- NPI 1861442824
-
- Hospitalist Physician
- Northville, MI
- NPI 1205418357
-
- Hospitalist Physician
- Brighton, MI
- NPI 1669901567
-
dba Adrian Bay Operating
- Skilled Nursing Facility
- Adrian, MI
- NPI 1316624497
-
dba The Villa at Parkridge
- Skilled Nursing Facility
- Ypsilanti, MI
- NPI 1770963753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1326253105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36123 SCHOOLCRAFT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501216",
"telephone_number": "734-464-0887",
"fax_number": "734-402-0254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36123 SCHOOLCRAFT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501216",
"telephone_number": "734-464-0887",
"fax_number": "734-402-0254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "SOMIL",
"middle_name": "ASHOK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.088592",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301091405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.