NPIMap

Individual provider Active NPI

Mohit Gupta, M.D.

  • Urology Physician
  • Washington, DC
National Provider Identifier
1467714576
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
299768 Issued in NY
Practice address
3800 Reservoir Rd NW
Urology, PHC 4
Washington, DC 20007-2000
Phone
(202) 444-4701
NPI assigned
Jun 14, 2012
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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 299768 NY Primary
Urology Physician 208800000X TRN17321 FL

Addresses

Primary practice location

3800 Reservoir Rd NW
Urology, PHC 4
Washington, DC 20007-2000

Mailing address

3 Tingey SQ SE Apt 409
Washington, DC 20003-4940
Phone (954) 673-2382

Other practice location 1

1600 SW Archer Rd
N-203
Gainesville, FL 32610-0247
Phone (352) 273-8634

Other practice location 2

222 E 41st St Fl 12
New York, NY 10017-6739
Phone (646) 825-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NY, DC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170802000024 MD Practitioner - Urology 5395987143 Reassigns benefits to 1 organization
I20190712000100 NY Practitioner - Urology 5395987143 Reassigns benefits to 1 organization
I20220420001542 DC Practitioner - Urology 5395987143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Jefferson Medical College of Thomas Jefferson University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Aug 1, 2019 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2022 Accepting new patients
New York University CurrentSince Aug 1, 2019 Accepting new patients
Johns Hopkins University Urology CurrentSince Jul 1, 2017 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2017 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2022 Accepting new patients
Johns Hopkins University Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1133 21st St NW
Washington, DC 20036
Phone (202) 223-9040

1133 21st St NW
Fl 6
Washington, DC 20036
Phone (202) 416-2000

1133 21st St NW
Ste 1000
Washington, DC 20036
Phone (202) 223-9040

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

3800 Reservoir Rd NW
#4
Washington, DC 20007
Phone (202) 444-1175

3800 Reservoir Rd NW
Fl 3
Washington, DC 20007
Phone (202) 444-1511

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

13950 Brandywine Rd
Brandywine, MD 20613
Phone (301) 782-2220

5530 Wisconsin Ave
Ste 950
Chevy Chase, MD 20815

222 E 41st St
Fl 12
New York, NY 10017
Phone (646) 825-6300

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Organizations & group practices 8

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 10

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": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1467714576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TINGEY SQ SE APT 409",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034940",
            "telephone_number": "954-673-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "address_2": "UROLOGY, PHC 4",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072000",
            "telephone_number": "202-444-4701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_2": "N-203",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326100247",
            "country_code": "US",
            "telephone_number": "352-273-8634",
            "fax_number": "352-273-8604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 E 41st St Fl 12",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176739",
            "country_code": "US",
            "telephone_number": "646-825-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "MOHIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "299768",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "TRN17321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.