Individual provider Active NPI

Naren Gupta, M.B.B.S., M.S., PHD

  • Vascular Surgery Physician
  • Hyannis, MA
National Provider Identifier
1487862272
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
242715 Issued in MA
Practice address
100 Camp St
Hyannis, MA 02601
Phone
(508) 775-1984
Fax
(508) 790-1897
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 242715 MA
Vascular Surgery Physician 2086S0129X 0101237807 VA
Vascular Surgery Physician 2086S0129X 242715 MA Primary

Addresses

Primary practice location

100 Camp St
Hyannis, MA 02601

Mailing address

100 Camp St
Hyannis, MA 02601-3063
Phone (508) 775-1984

Other practice location 1

800 Falmouth Rd Ste 102A
Mashpee, MA 02649-3363
Phone (508) 775-1984

Other practice location 2

1400 Vfw Pkwy
(112)
West Roxbury, MA 02132-4927
Phone (857) 203-6732

Other practice location 3

3000 Coliseum Dr Ste 200
Hampton, VA 23666-5963
Phone (757) 736-7250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VA, MD, DC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20110511000390 MA Practitioner - Vascular SurgeryPractitioner - General Surgery 1759567621 Reassigns benefits to 1 organization
I20200310001225 VA Practitioner - Vascular Surgery 1759567621 Reassigns benefits to 2 organizations
I20200813003156 MD Practitioner - Vascular SurgeryPractitioner - General Surgery 1759567621 Reassigns benefits to 2 organizations
I20200813003530 DC Practitioner - Vascular SurgeryPractitioner - General Surgery 1759567621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vascular Institute of Virginia LLCGroup PAC ID 4587832944, 10 clinicians
Metropolitan Vascular Institute LLCGroup PAC ID 6709139363, shared by 2 NPIs, 4 clinicians

Practice addresses (Care Compare)

14085 Crown CT
Woodbridge, VA 22193-1458
Phone (703) 763-5224

3015 Technology PL
Suite 100
Waldorf, MD 20601-4988
Phone (301) 374-8540

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 374-8540

Hospital & facility affiliations

  • University of MD Charles Regional Medical Center Hospital, La Plata, MD, CCN 210035
  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal225
Leg revascularization (restoring blood flow)112
Removal of tissue16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
242715MAMDVascular Surgery Physician
0101237807VAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Vascular Institute LLC CurrentSince Jul 20, 2020 Accepting new patients
Southcoast Physicians Group, Inc. Surgery Current Accepting new patients
Sentara Medical Group Vascular Surgery CurrentSince Jan 27, 2020 Accepting new patients
Vascular Institute of Virginia LLC CurrentSince Jul 20, 2020 Accepting new patients
Metropolitan Vascular Institute LLC Vascular Surgery CurrentSince Mar 24, 2022 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 1, 2019 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 1, 2019 Accepting new patients

Locations

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

300A Faunce Corner Rd
Ste 200
North Dartmouth, MA 02747
Phone (508) 973-2213

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

3015 Technology Pl
Ste 100
Waldorf, MD 20601
Phone (301) 374-8540

3015 Technology Pl
Ste 110
Waldorf, MD 20601
Phone (301) 374-8540

12070 Old Line Ctr
Ste 210
Waldorf, MD 20602
Phone (240) 629-3952

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

13135 Route 50
Ste 145
Fairfax, VA 22033
Phone (703) 378-1360

1440 Central Park Blvd
Ste 108
Fredericksburg, VA 22401
Phone (703) 763-5224

3000 Coliseum Dr
Ste 200
Hampton, VA 23666
Phone (757) 736-7250

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

14085 Crown Ct
Woodbridge, VA 22193
Phone (703) 763-5224

Interoperability endpoints

  • Direct secure messaging: ngupta46264@direct.southcoast.org

Organizations & group practices 7

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 3

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1487862272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAMP ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013063",
            "telephone_number": "508-775-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMP ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "02601",
            "telephone_number": "508-775-1984",
            "fax_number": "508-790-1897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Falmouth Rd Ste 102A",
            "address_purpose": "LOCATION",
            "city": "Mashpee",
            "state": "MA",
            "postal_code": "026493363",
            "country_code": "US",
            "telephone_number": "508-775-1984",
            "fax_number": "508-790-1897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Vfw Pkwy",
            "address_2": "(112)",
            "address_purpose": "LOCATION",
            "city": "West Roxbury",
            "state": "MA",
            "postal_code": "021324927",
            "country_code": "US",
            "telephone_number": "857-203-6732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Coliseum Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236665963",
            "country_code": "US",
            "telephone_number": "757-736-7250",
            "fax_number": "757-224-2198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "NAREN",
        "credential": "M.B.B.S., M.S., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "242715",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101237807",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "242715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.