Active NPI
Naren Gupta, M.B.B.S., M.S., PHD
- Vascular Surgery Physician
- Hyannis, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 242715
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Metropolitan Vascular Institute LLC
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
- Medstar Southern Maryland Hospital Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 225 |
| Leg revascularization (restoring blood flow) | 112 |
| Removal of tissue | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242715 | MA | MD | Vascular Surgery Physician |
| 0101237807 | VA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Vascular Institute LLC | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Surgery | Current | Accepting new patients |
| Sentara Medical Group | Vascular Surgery | Current | Accepting new patients |
| Vascular Institute of Virginia LLC | Current | Accepting new patients | |
| Metropolitan Vascular Institute LLC | Vascular Surgery | Current | Accepting new patients |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | 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
- 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.
-
- Vascular & Interventional Radiology Physician
- Waldorf, MD
- NPI 1093294910
DC
-
- Ambulatory Surgical Clinic/Center
- Waldorf, MD
- NPI 1871187245
Vascular Surgery
-
- Emergency Medicine Physician
- Fairhaven, MA
- NPI 1861830143
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- La Plata, MD
- NPI 1992701825
-
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.