Suresh C Gupta, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P4761 Issued in TX

Practice address

1510 S State Rd
Suite a
Davison, MI 48423-1965

Phone

(810) 653-0899

Fax

(810) 653-4144

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

No

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.

• Lonestar Hospital Medicine Associates, PA

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  • NPI 1518237429

  Internal Medicine, TX

  Medicare reassignment NPD
• Ascension Genesys Hospital

  • Skilled Nursing Facility
  • Grand Blanc, MI
  • NPI 1093125312
  NPD (past)
• Genesys Integrated Group Practice PC

  • Nurse Practitioner
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  • NPI 1386782381
  NPD (past)
• Inpatient Consultants of Texas, PLLC

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1255642716

  Internal Medicine

  NPD (past)
• Ipc Healthcare Services of Texas, PLLC

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1023403011

  Internal Medicine

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2018.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1376645002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 SAN PEDRO AVE",
            "address_2": "STE 540",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166250",
            "telephone_number": "210-344-7287",
            "fax_number": "210-344-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S STATE RD",
            "address_2": "SUITE A",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231965",
            "telephone_number": "810-653-0899",
            "fax_number": "810-653-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SURESH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P4761",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301037942",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3235996",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Medical Devices
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• H2G Dental PLLC
• Robert M Hale, DDS
• Hamtramck Orthopedic Physical Therapy, Inc.

• All providers in Davison, MI
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.