Active NPI
Puneet K Gupta, M.D.
- Interventional Cardiology Physician
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 54828
- Practice address
- 2600 Sixth St SW
Canton, OH 44710-1702 - Phone
- (330) 363-6293
- NPI assigned
- Jul 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 256292 | MA | |
| Cardiovascular Disease Physician | 207RC0000X | 2017004299 | MO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 57.248725 | OH | |
| Interventional Cardiology Physician | 207RI0011X | 54828 | KY | Primary |
Addresses
Primary practice location
2600 Sixth St SW
Canton, OH 44710-1702
Mailing address
2600 Sixth St SW
Department of Cardiology
Canton, OH 44710
Phone (330) 363-6293
Other practice location 1
800 Hospital Dr
Madisonville, KY 42431-1658
Phone (270) 326-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Hospital Dr
FL 1
Madisonville, KY 42431-1658
Phone (270) 326-3800
Hospital & facility affiliations
- Baptist Health Deaconess Madisonville
- Jennie Stuart Medical Center
- Caldwell Medical Center
- Trigg County Hospital
- Deaconess Hospital Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256292 | MA | MD | Internal Medicine Physician |
| 2017004299 | MO | MD | Cardiovascular Disease Physician |
| 57.248725 | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Deaconess Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Cardiovascular Disease | Current | Accepting new patients |
| Baptist Health Deaconess Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Baptist Health Madisonville Inc | Past | Accepting new patients |
Locations
500 Clinic Dr
Hopkinsville, KY 42240
Phone (270) 707-3300
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
800 Hospital Dr
Ste 1
Madisonville, KY 42431
800 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3800
900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900
800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900
800 Hospital Dr
Fl 1
Madisonville, KY 42431
Phone (270) 326-3800
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
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.
-
- Internal Medicine Physician
- Madisonville, KY
- NPI 1437730942
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
Cardiovascular Disease
-
- Hospitalist Physician
- Madisonville, KY
- NPI 1972320430
Internal Medicine
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Family Medicine Physician
- Madisonville, KY
- NPI 1174708259
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Madisonville, KY
- NPI 1447231956
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- General Acute Care Hospital
- Hopkinsville, KY
- NPI 1235139312
-
- Critical Access Hospital
- Cadiz, KY
- NPI 1538218680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1427498674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 SIXTH ST SW",
"address_2": "DEPARTMENT OF CARDIOLOGY",
"city": "CANTON",
"state": "OH",
"postal_code": "44710",
"telephone_number": "330-363-6293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 SIXTH ST SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447101702",
"telephone_number": "330-363-6293"
}
],
"practiceLocations": [
{
"address_1": "800 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Madisonville",
"state": "KY",
"postal_code": "424311658",
"country_code": "US",
"telephone_number": "270-326-3800",
"fax_number": "270-326-3805",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "PUNEET",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-02",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "256292",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "2017004299",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "57.248725",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "KY",
"license": "54828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.
- 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.