Ronald Stuart Gup, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

44479 Issued in FL

Practice address

4060 Sheridan St
Suite B
Hollywood, FL 33021-3559

Phone

(954) 966-9001

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Pulmonary DiseaseAlso: Internal Medicine, Sleep Medicine

Education

Eastern Virginia Medical School, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ronald S. Gup, MD, PA

  • Pulmonary Disease Physician
  • Hollywood, FL
  • NPI 1619123445
  Medicare reassignment NPD Authorized official
• Pines Eeg Associates, Inc.

  • Neurology Physician
  • Hollywood, FL
  • NPI 1427178664
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Broward Hospital District

  • General Acute Care Hospital
  • Hollywood, FL
  • NPI 1780667923
  Care Compare affiliation

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1497850523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 SHERIDAN ST STE A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213559",
            "telephone_number": "195-496-6900",
            "fax_number": "954-985-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 SHERIDAN ST",
            "address_2": "SUITE B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213559",
            "telephone_number": "954-966-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUP",
        "first_name": "RONALD",
        "middle_name": "STUART",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "44479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mhssp.mhs.net/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4060 Sheridan St Ste A",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330213559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Carla Guillaume, LCSW
• Suzelle Guinart, LMHC
• Sibel Gultekin, MD
• Michelle Gunderson, PSYD
• Andrew Sham Gupta, M.D.
• Jillian Guralski, MS, RDN, LDN, CPT
• Lissette Gutierrez, APRN, FNP-BC
• Maria Del Pilar Gutierrez, M.D.
• Maria-Jose Gutierrez, ARNP

• Pulmonary Disease Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.

Verify at the official NPI Registry.