Active NPI
Rakesh Kumar Gupta, M.D.
- Internal Medicine Physician
- Forest Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 218280
- Practice address
- 10555 62ND Dr
Suite 1- H
Forest Hills, NY 11375-1101 - Phone
- (718) 592-2626
- Fax
- (718) 592-6910
- NPI assigned
- May 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 218280 | NY | Primary |
Addresses
Primary practice location
10555 62ND Dr
Suite 1- H
Forest Hills, NY 11375-1101
Mailing address
11312 Jewel Ave
Forest Hills, NY 11375-3953
Phone (718) 592-2626
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02098593 | Medicaid | NY | |
| 2589768-PPO | Other | NY | GHI |
| 2795246 | Other | NM | OXFORD |
| 2382S1 | Other | NY | EMPIRE BLUE CROSS/BLUE SH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1979
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10555 62ND Dr
Suite 1H
Forest Hills, NY 11375-1109
Phone (646) 400-2332
26619 Union Tpke
New Hyde Park, NY 11040-1426
Phone (718) 347-0434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218280 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lefferts Medical Associates PC | Internal Medicine | Current | Accepting new patients |
| Instant Medical Care, PC | Internal Medicine | Past | Accepting new patients |
| New York Community Hospital of Brooklyn, Inc. | Internal Medicine | Past | Accepting new patients |
| Lifeco Medical, P.C. | Past | Accepting new patients | |
| Queens Medical Office, P.C. | Internal Medicine | Past | Accepting new patients |
Locations
10555 62nd Dr
Ste 1H
Forest Hills, NY 11375
Phone (718) 592-2626
26619 Union Tpke
New Hyde Park, NY 11040
Phone (718) 347-0434
27005 76th Ave
North New Hyde Pk, NY 11040
Networks
- Healthfirst Medicare Network H3359
Organizations & group practices 6
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
- New Hyde Park, NY
- NPI 1700922150
-
- Specialist
- Forest Hills, NY
- NPI 1104030626
-
- Emergency Medicine Physician
- Forest Hills, NY
- NPI 1922031905
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1205840055
Internal Medicine
-
- Internal Medicine Physician
- Elmhurst, NY
- NPI 1922017789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325376000000",
"number": "1366495780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11312 JEWEL AVE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753953",
"telephone_number": "718-592-2626",
"fax_number": "718-592-6910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10555 62ND DR",
"address_2": "SUITE 1- H",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751101",
"telephone_number": "718-592-2626",
"fax_number": "718-592-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "RAKESH",
"middle_name": "KUMAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2012-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "218280",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02098593",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2589768-PPO",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "2795246",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS/BLUE SH",
"identifier": "2382S1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.