NPIMap

Individual provider Active NPI

Shalini Gupta, M.D.

  • Internal Medicine Physician
  • Taylor, MI
National Provider Identifier
1467496141
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301067982 Issued in MI
Practice address
24474 Goddard Rd
Taylor, MI 48180-4080
Phone
(313) 292-7700
Fax
(313) 292-5959
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301067982 MI Primary

Addresses

Primary practice location

24474 Goddard Rd
Taylor, MI 48180-4080

Mailing address

47753 7 Mile Rd
Northville, MI 48167-9208
Phone (313) 292-7700

Other identifiers 1

IdentifierTypeStateIssuer
4264114MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060731000014 MI Practitioner - Internal Medicine 2668485137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24474 Goddard Rd
Taylor, MI 48180-3932
Phone (313) 292-7700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301067982MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shalini Gupta, M.D., P.C. Internal Medicine CurrentSince Jul 31, 2006 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Satinder Kumar Aggarwal MD P C Internal Medicine Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Millennium Medical Group South PC Internal Medicine Past Accepting new patients

Locations

24474 Goddard Rd
Taylor, MI 48180
Phone (313) 292-7700

25500 Goddard Rd
Taylor, MI 48180
Phone (313) 292-1300

24455 Goddard Rd
Taylor, MI 48180
Phone (734) 946-8150

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DACGBA/Endpoint/DACGBA

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.

Hospital & facility affiliations 9

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1467496141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47753 7 MILE RD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481679208",
            "telephone_number": "313-292-7700",
            "fax_number": "313-292-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24474 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804080",
            "telephone_number": "313-292-7700",
            "fax_number": "313-292-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SHALINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301067982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4264114",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.