Individual provider Active NPI

Sandeep Gupta, M.D.

  • Allergy Physician
  • Dallas, TX
National Provider Identifier
1336193069
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
L8357 Issued in TX
Practice address
8220 Walnut Hill LN
Suite 101
Dallas, TX 75231-4427
Phone
(214) 369-1901
Fax
(214) 369-1905
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X L8357 TX Primary

Addresses

Primary practice location

8220 Walnut Hill LN
Suite 101
Dallas, TX 75231-4427

Mailing address

8220 Walnut Hill LN
Suite 101
Dallas, TX 75231-4427
Phone (214) 369-1901

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041001000889 TX Practitioner - Internal Medicine 6709855026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Southern California Keck School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandeep Gupta, MD, PAGroup PAC ID 2365411741, 10 clinicians

Practice addresses (Care Compare)

5068 W Plano Pkwy
Suite 300
Plano, TX 75093-4409
Phone (972) 596-4383

8210 Walnut Hill LN
Dallas, TX 75231-4421
Phone (214) 369-1901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sandeep Gupta, MD, PA Allergy CurrentSince Jul 1, 2004 Accepting new patients

Locations

8210 Walnut Hill Ln
Ste 810
Dallas, TX 75231
Phone (214) 363-1885

8220 Walnut Hill Ln
Ste 101
Dallas, TX 75231
Phone (214) 368-6707

5068 W Plano Pkwy
Ste 300
Plano, TX 75093
Phone (972) 447-8330

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1336193069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 WALNUT HILL LN",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314427",
            "telephone_number": "214-369-1901",
            "fax_number": "214-369-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 WALNUT HILL LN",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314427",
            "telephone_number": "214-369-1901",
            "fax_number": "214-369-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SANDEEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "L8357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.