Active NPI
Ashish Kumar Gupta, M.D.
- Neonatal-Perinatal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 4301117104
- Practice address
- 3901 Beaubien St
Detroit, MI 48201-2119 - Phone
- (313) 745-5638
- Fax
- (313) 745-5867
- NPI assigned
- Aug 2, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD15293 | RI | |
| Pediatrics Physician | 208000000X | 22759 | MS | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 4301117104 | MI | Primary |
Addresses
Primary practice location
3901 Beaubien St
Detroit, MI 48201-2119
Mailing address
4201 Saint Antoine St
Uhc 5D - Mailbox 226
Detroit, MI 48201-2153
Phone (313) 966-5051
Other practice location 1
101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122 ext. 47442
Other practice location 2
101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122 ext. 47442
Other practice location 3
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-6902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22759 | MS | MD | Pediatrics Physician |
| MD15293 | RI | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| Primecare Physician Partner | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| VHS Huron Valley-Sinai Hospital Inc | Past | Accepting new patients | |
| VHS Sinai-Grace Hospital Inc | Past | Accepting new patients |
Locations
4201 Saint Antoine St
#5D
Detroit, MI 48201
Phone (313) 566-9051
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Detroit, MI
- NPI 1811920549
-
- Neonatal-Perinatal Medicine Physician
- Detroit, MI
- NPI 1326739202
-
- Pediatrics Physician
- Detroit, MI
- NPI 1184471690
-
- General Acute Care Hospital
- Commerce Township, MI
- NPI 1922310200
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1386076248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"address_2": "UHC 5D - MAILBOX 226",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-966-5051",
"fax_number": "313-966-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 BEAUBIEN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012119",
"telephone_number": "313-745-5638",
"fax_number": "313-745-5867"
}
],
"practiceLocations": [
{
"address_1": "101 Dudley St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029052401",
"country_code": "US",
"telephone_number": "401-274-1122 x47442",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Dudley St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029052401",
"country_code": "US",
"telephone_number": "401-274-1122 x47442",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Jefferson Ave SE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "49503",
"country_code": "US",
"telephone_number": "616-685-6902",
"fax_number": "616-685-8995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "ASHISH",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-02",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "RI",
"license": "MD15293",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MS",
"license": "22759",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MI",
"license": "4301117104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.