NPIMap

Individual provider Active NPI

Sachi Ashwanikumar Gupta, M.B.B.S.

  • Internal Medicine Physician
  • Prattville, AL
National Provider Identifier
1497062087
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD32757 Issued in AL
Practice address
124 S Memorial Dr
Prattville, AL 36067-3619
Phone
(334) 568-4334
NPI assigned
Sep 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X MD32757 AL Primary

Addresses

Primary practice location

124 S Memorial Dr
Prattville, AL 36067-3619

Mailing address

124 S Memorial Dr
Prattville, AL 36067-3619
Phone (334) 568-4334

Other practice location 1

619 19th St S
Birmingham, AL 35249-1900
Phone (334) 874-3463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20131216000882 AL Practitioner - Internal Medicine 5597992735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Physician Services - Southeast Professional Corporation 825 clinicians

Practice addresses (Care Compare)

124 S Memorial Dr
Prattville, AL 36067-3619
Phone (334) 365-0551

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100

Hospital & facility affiliations

  • Amedisys Home Health of Montgomery Home health agency, Montgomery, AL, CCN 017319
  • Baptist Hospice Hospice, Montgomery, AL, CCN 011500
  • Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD32757ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Care Authority for Baptist Health Current Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jan 1, 2014 Accepting new patients
The Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients

Locations

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

Interoperability endpoints

  • Direct secure messaging: sachi.gupta@direct.baptistfirst.org

Organizations & group practices 3

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 4

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": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1497062087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S MEMORIAL DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360673619",
            "telephone_number": "334-568-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S MEMORIAL DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360673619",
            "telephone_number": "334-568-4334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352491900",
            "country_code": "US",
            "telephone_number": "334-874-3463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SACHI",
        "middle_name": "ASHWANIKUMAR",
        "credential": "M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD32757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

Verify at the official NPI Registry.