Organization Active NPI

Subhash C. Gupta, MD, PA

  • Gastroenterology Physician
  • Pompano Beach, FL
National Provider Identifier
1396005153
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME43566 Issued in FL
Legal business name
SUBHASH C. GUPTA, MD, PA
Practice address
601 E Sample Rd
Suite 105
Pompano Beach, FL 33064
Phone
(954) 943-1133
Fax
(954) 783-6845
NPI assigned
May 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Subhash C Gupta, MDNPI 1881652956
Title
Doctor/Owner
Phone
(954) 739-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X ME43566 FL Primary

Addresses

Primary practice location

601 E Sample Rd
Suite 105
Pompano Beach, FL 33064

Mailing address

601 E. Sample Road
Suite 105
Pompano Beach, FL 33064
Phone (954) 344-2522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050720000238 FL Part B Supplier - Clinic/Group Practice 3274560412 Receives reassigned benefits from 2 practitioners
Practice locations: Coral Springs, FL; Deerfield Beach, FL; Pompano Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2048535Subhash C Gupta MD601 E Sample Rd Ste 105, Pompano Beach, FL 33064Certificate of waiverOct 17, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1396005153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E. SAMPLE ROAD",
            "address_2": "SUITE 105",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "954-344-2522",
            "fax_number": "954-344-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAMPLE RD",
            "address_2": "SUITE 105",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "954-943-1133",
            "fax_number": "954-783-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBHASH C. GUPTA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SUBHASH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "954-739-9000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME43566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.