Prem P Gupta, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

F7772 Issued in TX

Practice address

12398 FM 423 Ste 600
Frisco, TX 75033-0158

Phone

(214) 494-4622

Fax

(214) 494-4609

NPI assigned

Jul 7, 2006

Last updated

May 30, 2012By 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 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16819/brand/1/csg/1/fhir/r4

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.

• Gupta and Gupta Pediatrics MD PA

  • Pediatrics Physician
  • Midland, TX
  • NPI 1730118415
  NPD (past) Authorized official
• Little Elm Frisco Children's Clinic

  • Pediatrics Physician
  • Frisco, TX
  • NPI 1083911622
  NPD (past) Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1386677250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12398 FM 423 STE 600",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330158",
            "telephone_number": "214-494-4622",
            "fax_number": "214-494-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12398 FM 423 STE 600",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330158",
            "telephone_number": "214-494-4622",
            "fax_number": "214-494-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "PREM",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F7772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "4403201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE HMO",
            "identifier": "114191103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTHPLAN",
            "identifier": "101054",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8H3960",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133070608",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155931202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asha J Gummadi, PT
• Xiaowen Guo
• Annika Gupta
• Devinder Paul Gupta, MD
• Hema Gupta, D.D.S.
• Shweta Gupta
• Kavita Guragain, NP
• Gus Medical Solutions LLC
• Gustovich Dermatology, PLLC
• Carla Gustovich, MD

• Pediatrics Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.