Individual provider Active NPI

Sanjeev K Gupta, M.D.

  • Urology Physician
  • Coconut Creek, FL
National Provider Identifier
1457560443
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME105426 Issued in FL
Practice address
4515 Wiles Rd Ste 201
Coconut Creek, FL 33073-3414
Phone
(954) 943-1133
Fax
(954) 783-6845
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME105426 FL Primary
Urology Physician 208800000X 37691 IA

Addresses

Primary practice location

4515 Wiles Rd Ste 201
Coconut Creek, FL 33073-3414

Mailing address

5258 Linton Blvd Ste 203
Delray Beach, FL 33484-6529
Phone (561) 495-7570

Other practice location 1

333 NW 70th Ave Ste 206
Plantation, FL 33317-2300
Phone (954) 943-1133

Other practice location 2

601 E Sample Rd Ste 105
Deerfield Beach, FL 33064-4443
Phone (954) 943-1133

Other practice location 3

1930 NE 47th St Ste 308
Fort Lauderdale, FL 33308-7729
Phone (954) 943-1133

Other practice location 4

5258 Linton Blvd Ste 203
Delray Beach, FL 33484-6529
Phone (561) 495-7570

Other practice location 5

5258 Linton Blvd Ste 103
Delray Beach, FL 33484-6564
Phone (561) 495-7570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20121221000232 FL Practitioner - Urology 9638243736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Miami, LM Miller School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Medical Specialists, PAGroup PAC ID 2466604616, 11 clinicians

Practice addresses (Care Compare)

4515 Wiles Rd
Suite 201
Coconut Creek, FL 33073-3414
Phone (954) 943-1133

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Broward Health North Hospital, Deerfield Beach, FL, CCN 100086
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • West Boca Medical Center Hospital, Boca Raton, FL, CCN 100268

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection25
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105426FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Medical Specialists, PA Urology CurrentSince Jul 27, 2012 Accepting new patients
Medical Specialists of Florida PA Urology CurrentSince Aug 18, 2025 Accepting new patients
Urology Medical Specialists, PA Urology CurrentSince Nov 1, 2012 Accepting new patients
Urology Medical Specialists, PA Urology Past Accepting new patients
Urology Medical Specialists, PA Urology PastSince Jul 27, 2012 Accepting new patients
Urology Medical Specialists, PA Past Accepting new patients

Locations

4515 Wiles Rd
Ste 201
Coconut Creek, FL 33073
Phone (954) 943-1133

601 E Sample Rd
Ste 105
Deerfield Beach, FL 33064
Phone (954) 344-2522

5258 Linton Blvd
Ste 103
Delray Beach, FL 33484
Phone (561) 266-0190

5258 Linton Blvd
Ste 203
Delray Beach, FL 33484
Phone (561) 495-7570

1930 NE 47th St
Ste 308
Ft Lauderdale, FL 33308
Phone (954) 493-5005

333 NW 70th Ave
Ste 206
Plantation, FL 33317
Phone (954) 797-6333

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1457560443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5258 LINTON BLVD STE 203",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846529",
            "telephone_number": "561-495-7570",
            "fax_number": "561-496-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 WILES RD STE 201",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733414",
            "telephone_number": "954-943-1133",
            "fax_number": "954-783-6845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 NW 70th Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333172300",
            "country_code": "US",
            "telephone_number": "954-943-1133",
            "fax_number": "954-783-6845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Sample Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "330644443",
            "country_code": "US",
            "telephone_number": "954-943-1133",
            "fax_number": "954-783-6845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1930 NE 47th St Ste 308",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333087729",
            "country_code": "US",
            "telephone_number": "954-943-1133",
            "fax_number": "954-783-6845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5258 Linton Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846529",
            "country_code": "US",
            "telephone_number": "561-495-7570",
            "fax_number": "561-496-7074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5258 Linton Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846564",
            "country_code": "US",
            "telephone_number": "561-495-7570",
            "fax_number": "561-496-7074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SANJEEV",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME105426",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "37691",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.