Individual provider Active NPI

Ruchi Gupta, MD

  • Emergency Medicine Physician
  • Jellico, TN
National Provider Identifier
1386686343
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
27737 Issued in TN
Practice address
188 Hospital LN
Jellico, TN 37762-4400
Phone
(423) 784-1238
NPI assigned
Jun 12, 2006
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 27737 TN Primary
Internal Medicine Physician 207R00000X 27737 TN

Addresses

Primary practice location

188 Hospital LN
Jellico, TN 37762-4400

Mailing address

PO Box 636019
Cincinnati, OH 45263-6019
Phone (865) 985-7234

Other practice location 1

800 S Mohawk Dr Ste C
Erwin, TN 37650-2124
Phone (423) 979-6000

Other identifiers 3

IdentifierTypeStateIssuer
P00225552OtherTNRAILROAD MEDICARE
3806445MedicaidTN
3126227OtherTNBCBS OF TN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20050525001335 TN Practitioner - Internal Medicine 4981646320 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-Cities Regional Emergency Physicians, PCGroup PAC ID 3678859477, 118 clinicians
DX Mso PLLCGroup PAC ID 7719131101, 88 clinicians

Practice addresses (Care Compare)

1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 542-1300

6108 Kingston Pike
Knoxville, TN 37919-4019
Phone (423) 458-1426

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.33 of 100Reported as group
Quality
83.8
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Aug 5, 2019 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
DX Mso, PLLC CurrentSince Jul 26, 2025 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Blue Ridge Medical Management Corporation Internal Medicine CurrentSince Jan 16, 2025 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jan 16, 2025 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone 4234765990 ext. 104

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300

800 S Mohawk Dr
Ste C
Erwin, TN 37650
Phone (423) 330-6177

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

188 Hospital Ln
Jellico, TN 37762
Phone (423) 784-1272

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

6108 Kingston Pike
Knoxville, TN 37919
Phone (423) 458-1426

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

726 McFarland St
Morristown, TN 37814
Phone (423) 522-6160

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1386686343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636019",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636019",
            "telephone_number": "865-985-7234",
            "fax_number": "865-985-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 HOSPITAL LN",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377624400",
            "telephone_number": "423-784-1238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 S Mohawk Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Erwin",
            "state": "TN",
            "postal_code": "376502124",
            "country_code": "US",
            "telephone_number": "423-979-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "RUCHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "27737",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "27737",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00225552",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3806445",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "3126227",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jellico, TN

Sources for this page

Verify at the official NPI Registry.