NPIMap

Organization Active NPI

Suresh Gupta MD Inc

Doing business as Pain Management Associates

  • Specialist
  • Dayton, OH
National Provider Identifier
1508895640
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SURESH GUPTA MD INC
Doing business as
Pain Management Associates
Practice address
1010 Woodman Dr
Dayton, OH 45432
Phone
(937) 424-2215
Fax
(937) 252-1224
NPI assigned
Jul 1, 2006
Last updated
Dec 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2022

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

Authorized official

Name
Sapna Gupta
Title
Chief Legal Officer
Phone
(937) 620-0720

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary
Pain Clinic/Center 261QP3300X OH
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1010 Woodman Dr
Dayton, OH 45432

Mailing address

1010 Woodman Dr
Dayton, OH 45432-1400
Phone (937) 424-2215

Other names 1

  • Pain Management Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040127001187 OH Part B Supplier - Clinic/Group Practice 3173426350 Receives reassigned benefits from 11 practitioners
Practice locations: Greenville, OH; West Chester, OH; Troy, OH; Middletown, OH; Fairborn, OH; Dayton, OH
O20180723003506 OH DME Supplier - Physician - Interventional Pain Management 3173426350 Practice locations: Dayton, OH

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
36D2077807Suresh Gupta MD Inc Dba Pain1010 Woodman Dr, Dayton, OH 45432Certificate of waiverMay 14, 2028

National Provider Directory

National Provider Directory

Locations

1010 Woodman Dr
Ste 100
Dayton, OH 45432
Phone (937) 252-5500

6229 Old Troy Pike
Huber Heights, OH 45424
Phone (937) 660-7207

8210 Springboro Pike
Miamisburg, OH 45342
Phone (937) 438-8711

30 W McCreight Ave
Springfield, OH 45504
Phone (937) 323-3585

8230 Beckett Park Dr
Ste C
West Chester, OH 45069

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672012800000",
    "number": "1508895640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WOODMAN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321400",
            "telephone_number": "937-424-2215",
            "fax_number": "937-252-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WOODMAN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45432",
            "telephone_number": "937-424-2215",
            "fax_number": "937-252-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURESH GUPTA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SAPNA",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "937-620-0720"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Management Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pain Management Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.