Ravi Gupta, MD, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

33007 Issued in AZ

Legal business name

RAVI GUPTA, MD, PLLC

Practice address

2075 W Pecos Rd,
Ste 2
Chandler, AZ 85224-5693

Phone

(480) 219-6840

Fax

(480) 219-6841

NPI assigned

Jan 18, 2009

Last updated

Nov 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ravi Gupta, M.D.NPI 1790751949

Title

President

Phone

(480) 455-9616

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ravi Gupta, MD

  • Internal Medicine Physician
  • Chandler, AZ
  • NPI 1790751949
  Medicare reassignment Care Compare group Authorized official
• Amita Gupta, MD

  • Internal Medicine Physician
  • Chandler, AZ
  • NPI 1962462630
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1232236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1346487998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 W PECOS RD",
            "address_2": "SUITE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245722",
            "telephone_number": "480-219-6840",
            "fax_number": "480-219-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 W PECOS RD,",
            "address_2": "STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245693",
            "telephone_number": "480-219-6840",
            "fax_number": "480-219-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVI GUPTA, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-18",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-455-9616",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "33007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PROVIDER",
            "identifier": "1790751949",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "866965",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quratulain Rashid, DO
• Stephanie B. Rasmussen, M.D.
• Anju Rastogi
• Quania Ratcliff
• Vincent Rauschel, DMD
• Sowjanya Ravi
• Rajnikanth Ravula, M.D.
• April Marie Rawlings, PHARM.D.
• Porter Kevin Rawlinson, DO
• Tequilea Chy Rawls, FNP-C

• Internal Medicine Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.