Individual provider Active NPI

Nishi Gupta, MD

  • Internal Medicine Physician
  • The Woodlands, TX
National Provider Identifier
1336373133
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P8359 Issued in TX
Practice address
1111 Medical Plaza Dr
Suite 250
The Woodlands, TX 77380-3476
Phone
(281) 587-5078
Fax
(281) 465-4596
NPI assigned
May 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P8359 TX Primary
Internal Medicine Physician 207R00000X 205485 LA

Addresses

Primary practice location

1111 Medical Plaza Dr
Suite 250
The Woodlands, TX 77380-3476

Mailing address

1111 Medical Plaza Dr
Suite 250
The Woodlands, TX 77380-3476
Phone (281) 587-5078

Other practice location 1

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541

Other identifiers 1

IdentifierTypeStateIssuer
2305654MedicaidLA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140311001674 TX Practitioner - HospitalistPractitioner - Internal Medicine 4688823040 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205485LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston in Patient Physician Associates PLLC CurrentSince Sep 14, 2015 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Dec 8, 2015 Accepting new patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Oct 22, 2019 Accepting new patients
TMH Physician Associates PLLC CurrentSince Oct 22, 2019 Accepting new patients
Memorial Multispecialty Associates Past Accepting new patients
Imperial Health LLP Past Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

4645 Sweetwater Blvd
Ste 200
Sugar Land, TX 77479
Phone (281) 565-1112

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

1111 Medical Plaza Dr
Ste 250
The Woodlands, TX 77380
Phone (281) 419-5818

Organizations & group practices 8

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": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1336373133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL PLAZA DR",
            "address_2": "SUITE 250",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803476",
            "telephone_number": "281-587-5078",
            "fax_number": "281-465-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL PLAZA DR",
            "address_2": "SUITE 250",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803476",
            "telephone_number": "281-587-5078",
            "fax_number": "281-465-4596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "318-966-4541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "NISHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P8359",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "205485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2305654",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.