NPIMap

Individual provider Active NPI

Shuchi Gupta, MD

  • Family Medicine Physician
  • Quincy, MA
National Provider Identifier
1487642732
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
159381 Issued in MA
Practice address
54 Miller St
Suite 300
Quincy, MA 02169-4725
Phone
(617) 481-3300
Fax
(617) 481-3305
NPI assigned
Oct 11, 2005
Last updated
Aug 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 159381 MA Primary

Addresses

Primary practice location

54 Miller St
Suite 300
Quincy, MA 02169-4725

Mailing address

54 Miller St
Ste 300
Quincy, MA 02169-4725
Phone (508) 350-2350

Other identifiers 4

IdentifierTypeStateIssuer
159381OtherMATAHP
0123790MedicaidMA
710876OtherMAHPHC
J22618OtherMABC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080129000636 MA Practitioner - Family Practice 8426130477 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

1177 Providence Hwy
Route 1
Norwood, MA 02062
Phone (781) 329-1400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
159381MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 1, 2012 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 1, 2012 Accepting new patients
Caritas Medical Group, Inc. Current Accepting new patients
Atrius Health, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Compass Medical PC Family Medicine CurrentSince Apr 4, 2022 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Atrius Health, Inc. PastSince Jun 1, 2023 Accepting new patients
Atrius Health, Inc. Past Accepting new patients

Locations

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782

500 Belmont St
Ste 150
Brockton, MA 02301
Phone (508) 583-1195

362 N Bedford St
East Bridgewtr, MA 02333
Phone (508) 350-2350

362 N Bedford St
Ofc
East Bridgewtr, MA 02333
Phone (508) 350-2350

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

54 Miller St
Ste 300
Quincy, MA 02169
Phone (617) 481-3300

54 Miller St
Ste 200
Quincy, MA 02169
Phone (617) 481-3200

21 Bristol Dr
Ste 200
South Easton, MA 02375
Phone (508) 565-7300

Interoperability endpoints

  • Direct secure messaging: sguptamd371299@direct.atrius.masshiway.net

Organizations & group practices 9

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 8

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1487642732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MILLER ST",
            "address_2": "STE 300",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694725",
            "telephone_number": "508-350-2350",
            "fax_number": "508-350-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MILLER ST",
            "address_2": "SUITE 300",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694725",
            "telephone_number": "617-481-3300",
            "fax_number": "617-481-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SHUCHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "159381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAHP",
            "identifier": "159381",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123790",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "710876",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "J22618",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.