Active NPI
Sushma Gupta, M.D.
- Specialist
- Covington, LA
National Provider Identifier
1366414658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 012915
- Practice address
- 108 Highland Park PLZ
Suite 108
Covington, LA 70433-7116 - Phone
- (985) 892-8660
- Fax
- (985) 892-0908
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 012915 | LA | Primary |
Addresses
Primary practice location
108 Highland Park PLZ
Suite 108
Covington, LA 70433-7116
Mailing address
108 Highland Park PLZ
Suite 108
Covington, LA 70433-7116
Phone (985) 892-8660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1155667 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012915 | LA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1366414658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 HIGHLAND PARK PLZ",
"address_2": "SUITE 108",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337116",
"telephone_number": "985-892-8660",
"fax_number": "985-892-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 HIGHLAND PARK PLZ",
"address_2": "SUITE 108",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337116",
"telephone_number": "985-892-8660",
"fax_number": "985-892-0908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "SUSHMA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "012915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1155667",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.