Individual provider Active NPI

Sunita Adhikari Gupta

  • Registered Nurse
  • Glenelg, MD
National Provider Identifier
1508613704
Registry record updated May 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R150370 Issued in MD
Practice address
13707 Bold Venture Dr
Glenelg, MD 21737-9707
Phone
(410) 564-9880
NPI assigned
May 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R150370 MD Primary

Addresses

Primary practice location

13707 Bold Venture Dr
Glenelg, MD 21737-9707

Mailing address

13707 Bold Venture Dr
Glenelg, MD 21737-9707
Phone (410) 564-9880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250306003012 DC Practitioner - Nurse Practitioner 8224559257 Reassigns benefits to 1 organization
I20250617000108 MD Practitioner - Nurse Practitioner 8224559257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians
Sibte a Kazmi MD LLCGroup PAC ID 4587819685, 3 clinicians

Practice addresses (Care Compare)

187 Thomas Johnson Dr
Frederick, MD 21702-4503

814 Toll House Ave
Frederick, MD 21701-4519
Phone (301) 662-8310

Hospital & facility affiliations

  • Frederick Health Home Care Home health agency, Frederick, MD, CCN 217034
  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R150370MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
American Primecare & Wellness Inc CurrentSince Dec 10, 2025 Accepting new patients
Sibte a. Kazmi MD LLC CurrentSince May 1, 2025 Accepting new patients
Primecare Medicine PA CurrentSince Mar 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

814 Toll House Ave
Frederick, MD 21701
Phone (301) 662-8310

10750 Columbia Pike
Ste 320
Silver Spring, MD 20901
Phone (301) 593-9800

Interoperability endpoints

  • Direct secure messaging: sunita.gupta.1@20487.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20487/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 2

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": "1714780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714780800000",
    "number": "1508613704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13707 BOLD VENTURE DR",
            "city": "GLENELG",
            "state": "MD",
            "postal_code": "217379707",
            "telephone_number": "410-564-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13707 BOLD VENTURE DR",
            "city": "GLENELG",
            "state": "MD",
            "postal_code": "217379707",
            "telephone_number": "410-564-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SUNITA",
        "middle_name": "ADHIKARI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-05-04",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R150370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenelg, MD

Sources for this page

Verify at the official NPI Registry.