Individual provider Active NPI

Trisha Sujaya Dasgupta, M.D.

  • Dermatology Physician
  • Philadelphia, PA
National Provider Identifier
1508153545
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD455328 Issued in PA
Practice address
200 N 16TH St Ste D
Philadelphia, PA 19102-1225
Phone
(215) 315-3197
Fax
(215) 689-4466
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD455328 PA Primary

Addresses

Primary practice location

200 N 16TH St Ste D
Philadelphia, PA 19102-1225

Mailing address

200 N 16TH St Ste D
Philadelphia, PA 19102-1225
Phone (215) 315-3197

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20150720002391 PA Practitioner - Dermatology 3274846241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Jefferson Medical College of Thomas Jefferson University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dermatology LTDGroup PAC ID 0244120756, 10 clinicians

Practice addresses (Care Compare)

1788 Wilmington W Chester Pike
Suite 2200
Glen Mills, PA 19342-8203
Phone (610) 566-7111

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
  • Riddle Memorial Hospital Hospital, Media, PA, CCN 390222

Merit-based Incentive Payment System (MIPS)

Final score
82.71 of 100Reported as group
Quality
70.4
Promoting interoperability
91
Improvement activities
40
Cost
79.48

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1148
Removal or shaving of skin growth134
Skin biopsy709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology of South Jersey LLC CurrentSince Feb 18, 2024 Accepting new patients

Locations

200 N 16th St
Ste D
Philadelphia, PA 19102
Phone (215) 315-3197

Interoperability endpoints

  • Direct secure messaging: tdasgupta@directaddress.net

Organizations & group practices 2

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1508153545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 16TH ST STE D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021225",
            "telephone_number": "215-315-3197",
            "fax_number": "215-689-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 16TH ST STE D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021225",
            "telephone_number": "215-315-3197",
            "fax_number": "215-689-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASGUPTA",
        "first_name": "TRISHA",
        "middle_name": "SUJAYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD455328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.