Active NPI
Geetika Gupta, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 069830
- Practice address
- 5301 McAuley Dr
Ypsilanti, MI 48197-1051 - Phone
- (734) 712-3456
- NPI assigned
- Jun 1, 2006
- Last updated
- Jun 4, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 069830 | MI | Primary |
Addresses
Primary practice location
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Mailing address
2000 Green Rd
Suite 300
Ann Arbor, MI 48105-1598
Phone (734) 995-3764
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104827801 | Medicaid | MI | |
| 104327626 | Medicaid | MI | |
| 104329068 | Medicaid | MI | |
| 104329077 | Medicaid | MI | |
| GG069830 | Other | MI | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069830 | MI | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Physicians Medical Group of Michigan, PC | Current | Accepting new patients | |
| Chelsea Community Hospital | Current | Accepting new patients | |
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| Hospitalist Physicians Medical Group of Michigan, PC | Current | Accepting new patients | |
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| Chelsea Community Hospital | Current | Accepting new patients |
Locations
2000 Green Rd
Ste 300
Ann Arbor, MI 48105
Phone (313) 995-3764
1600 S Canton Center Rd
Canton, MI 48188
Phone (734) 398-7557
775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
Interoperability endpoints
- ggupta@landmarkhealth-direct.org
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Chelsea, MI
- NPI 1033778733
-
dba St. Joseph Mercy Chelsea
- Psychiatry Physician
- Chelsea, MI
- NPI 1912947409
-
- Emergency Medicine Physician
- Chelsea, MI
- NPI 1003978867
-
- Emergency Medicine Physician
- Saint Joseph, MI
- NPI 1407618234
-
- Urgent Care Clinic/Center
- Canton, MI
- NPI 1184743866
-
- Otolaryngology Physician
- Ypsilanti, MI
- NPI 1659499705
-
- Cardiac Rehabilitation Clinic/Center
- Ypsilanti, MI
- NPI 1902359094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212537600000",
"number": "1386681039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 GREEN RD",
"address_2": "SUITE 300",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051598",
"telephone_number": "734-995-3764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 MCAULEY DR",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971051",
"telephone_number": "734-712-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "GEETIKA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2008-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "069830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104827801",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104327626",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104329068",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104329077",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "GG069830",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.