Gaurav Gupta, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD12949 Issued in RI

Practice address

150 E Manning St
Providence, RI 02906-5109

Phone

(401) 272-2020

Fax

(401) 421-5979

NPI assigned

Aug 25, 2006

Last updated

Oct 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA, RI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

University of Massachusetts Medical School, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Refocus Eye Health of Ri, LLCGroup PAC ID 3678940277, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rhode Island Hospital Hospital, Providence, RI, CCN 410007

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gagupta@kent.cernerdirect.carene.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Refocus Eye Health of Ri, LLC

  dba Rhode Island Eye Institute

  • Ophthalmology Physician
  • Providence, RI
  • NPI 1043938772

  MA

  Medicare reassignment Care Compare group NPD Authorized official
• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • General Practice Physician
  • Providence, RI
  • NPI 1407116643
  Medicare reassignment NPD
• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • Emergency Medicine Physician
  • Providence, RI
  • NPI 1568325678
  NPD
• Refocus Eye Health of Ri, LLC

  • Durable Medical Equipment & Medical Supplies
  • Providence, RI
  • NPI 1225736747

  Ophthalmology

  NPD
• Refocus Eye Health of Ri, LLC

  • Durable Medical Equipment & Medical Supplies
  • South Kingstown, RI
  • NPI 1922706456

  Ophthalmology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rhode Island Hospital

  dba LifePact

  • Ambulance
  • Providence, RI
  • NPI 1053552299

  Hospital

  Care Compare affiliation
• Rhode Island Hospital

  • Clinic/Center
  • Providence, RI
  • NPI 1154663383

  Hospital

  Care Compare affiliation
• Rhode Island Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1588659528
  Care Compare affiliation
• Rhode Island Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1972768174
  Care Compare affiliation

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1366559114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E MANNING ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065109",
            "telephone_number": "401-272-2020",
            "fax_number": "401-421-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E MANNING ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065109",
            "telephone_number": "401-272-2020",
            "fax_number": "401-421-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "GAURAV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "MD12949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI LICENCE NUMBER",
            "identifier": "MD12949",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1366559114",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandan Gunarathne, RN
• Alexandra Irene Gundersen, MD
• Fusun Gundogan, MD
• Varina S. Gunn
• Lily Guo, MD
• Ravi Gupta, M.D.
• Sapana R Gupta, MD
• Siddharth Gupta, MD
• Tanya Gupta, M.D.
• Ellen Lee Gurney, MD

• Ophthalmology Physician in Providence, RI
• Providers in Providence, RI by specialty
• Ophthalmology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.

Verify at the official NPI Registry.