Individual provider Active NPI

Kunal Gupta, MD

  • Neonatal-Perinatal Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1477833358
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
60219 Issued in MN
Practice address
701 Park Ave
Minneapolis, MN 55415-1623
Phone
(612) 873-3000
NPI assigned
Aug 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 4384-320 WI
Neonatal-Perinatal Medicine Physician 2080N0001X 60219 MN Primary

Addresses

Primary practice location

701 Park Ave
Minneapolis, MN 55415-1623

Mailing address

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-3000

Other practice location 1

1000 N Oak Ave
Marshfield, WI 55449
Phone (800) 782-8581

Other practice location 2

402 E 2nd St Bldg B
Duluth, MN 55805-1906
Phone (218) 786-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160517002501 MN Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 5395047070 Reassigns benefits to 3 organizations
I20240815000765 WI Practitioner - Pediatric Medicine 5395047070 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60219MNMDNeonatal-Perinatal Medicine Physician
4384-320WIMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin Healthcare System Inc CurrentSince Jul 7, 2016 Accepting new patients
Memorial Hospital Inc CurrentSince Aug 6, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Aug 6, 2024 Accepting new patients
Childrens Health Care Current Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Aug 1, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Aug 6, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 6, 2024 Accepting new patients
The Duluth Clinic LTD CurrentSince Jun 19, 2023 Accepting new patients
Childrens Health Care CurrentSince Jan 1, 2020 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 6, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Aug 6, 2024 Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
Flambeau Hospital Inc CurrentSince Aug 6, 2024 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Jun 19, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 6, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 6, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Jul 7, 2016 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Aug 1, 2024 Accepting new patients
Childrens Health Care CurrentSince Jan 1, 2020 Accepting new patients
Hennepin Healthcare System, Inc Past Accepting new patients
Memorial Hospital Inc Past Accepting new patients

Locations

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

402 E 2nd St
Bldg B
Duluth, MN 55805

701 Park Ave
#350
Minneapolis, MN 55415
Phone (612) 873-5334

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1000 N Oak Ave
Fl 2
Marshfield, WI 54449

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1477833358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "55449",
            "country_code": "US",
            "telephone_number": "800-782-8581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 E 2nd St Bldg B",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051906",
            "country_code": "US",
            "telephone_number": "218-786-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "KUNAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2025-07-07",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "WI",
            "license": "4384-320",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MN",
            "license": "60219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.