Active NPI
Renuka Gupta, M.D.
- Internal Medicine Physician
- Greenbelt, MD
National Provider Identifier
1366419566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D20727
- Practice address
- 7215 Hanover Pkwy Ste D
Greenbelt, MD 20770-3626 - Phone
- (301) 345-7885
- Fax
- (301) 345-7422
- NPI assigned
- Mar 7, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D20727 | MD | Primary |
| Internal Medicine Physician | 207R00000X | 9348 | DC |
Addresses
Primary practice location
7215 Hanover Pkwy Ste D
Greenbelt, MD 20770-3626
Mailing address
7215 Hanover Pkwy Ste D
Greenbelt, MD 20770-3626
Phone (301) 345-7885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 546771300 | Medicaid | MD |
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 |
|---|---|---|---|
| 9348 | DC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Maryland Medical Group LLC | Internal Medicine | Past | Accepting new patients |
| Renuka Gupta MD PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Greenbelt, MD
- NPI 1962479543
-
- Internal Medicine Physician
- Camp Springs, MD
- NPI 1942448113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1366419566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7215 HANOVER PKWY STE D",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703626",
"telephone_number": "301-345-7885",
"fax_number": "301-345-7422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7215 HANOVER PKWY STE D",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703626",
"telephone_number": "301-345-7885",
"fax_number": "301-345-7422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "RENUKA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D20727",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DC",
"license": "9348",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "546771300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.