Organization Active NPI

Nandita Gupta MD, PLLC

  • Preferred Provider Organization
  • Houston, TX
National Provider Identifier
1487979969
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
M8691 Issued in TX
Legal business name
NANDITA GUPTA MD, PLLC
Practice address
1919 North Loop W Ste 395
Houston, TX 77008-1364
Phone
(713) 861-9500
Fax
(713) 861-9501
NPI assigned
Mar 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Nandita Gupta, MDNPI 1952626434
Title
Owner
Phone
(713) 861-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Preferred Provider Organization 305R00000X M8691 TX Primary

Addresses

Primary practice location

1919 North Loop W Ste 395
Houston, TX 77008-1364

Mailing address

1919 North Loop W Ste 395
Houston, TX 77008-1364
Phone (713) 861-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110118000376 TX Part B Supplier - Clinic/Group Practice 4789873084 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2055375Nandita Gupta, MD PLLC1919 N Loop West #395, Houston, TX 77008Certificate of waiverMar 10, 2027

National Provider Directory

National Provider Directory

Locations

1919 North Loop W
Ste 395
Houston, TX 77008
Phone (713) 861-9500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1487979969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 NORTH LOOP W STE 395",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081364",
            "telephone_number": "713-861-9500",
            "fax_number": "713-861-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 NORTH LOOP W STE 395",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081364",
            "telephone_number": "713-861-9500",
            "fax_number": "713-861-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANDITA GUPTA MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "NANDITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-861-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "M8691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.