Individual provider Active NPI

Yogesh Sean Gupta, D.O.

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1518300052
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS019303 Issued in PA
Practice address
3400 Spruce St
Philadelphia, PA 19104-4238
Phone
(215) 662-3000
NPI assigned
Apr 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OS019303 PA Primary

Addresses

Primary practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-3000

Other practice location 1

295 I U Willets Rd
Albertson, NY 11507-2217
Phone (516) 448-2932

Other practice location 2

295 I U Willets Rd
Albertson, NY 11507-2217
Phone (516) 448-2932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NH, MA, NJ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180801000992 PA Practitioner - Diagnostic Radiology 4183972573 Reassigns benefits to 2 organizations
I20260122004226 NH Practitioner - Diagnostic Radiology 4183972573 Reassigns benefits to 1 organization
I20260122004235 MA Practitioner - Diagnostic Radiology 4183972573 Reassigns benefits to 1 organization
I20260512003339 NJ Practitioner - Diagnostic Radiology 4183972573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass General Brigham Community Physicians IncGroup PAC ID 1759273436, 430 clinicians
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

1 Park Way
Haverhill, MA 01830-6278
Phone (888) 227-3762

102 Endicott St
Danvers, MA 01923-3623
Phone (978) 354-4181

170 Governors Ave
Medford, MA 02155-1643
Phone (781) 395-4909

30 Tuscan Blvd
Salem, NH 03079-3981
Phone (857) 282-8100

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-5030

480 Lynnfield St
Lynn, MA 01904-1419
Phone (781) 342-4386

65 Calef Hwy
Lee, NH 03861-6703
Phone (603) 740-2250

67 Corporate Dr
Portsmouth, NH 03801-2847
Phone (603) 740-2250

789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2250

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-4181

9 Lenape CT
Mount Laurel, NJ 08054-5718
Phone (617) 643-0003

Hospital & facility affiliations

  • Temple University Hospital Hospital, Philadelphia, PA, CCN 390027
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
49.71
Promoting interoperability
100
Improvement activities
40
Cost
74.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Mar 9, 2019 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Mar 6, 2019 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Mar 6, 2019 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Mar 9, 2019 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Jan 28, 2026 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients

Locations

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100

2365 Heritage Center Dr
Furlong, PA 18925
Phone (215) 728-3883

250 W Lancaster Ave
Ste 180
Paoli, PA 19301
Phone (610) 644-0477

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

7604 Central Ave
Philadelphia, PA 19111
Phone (215) 745-3400

2301 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 282-8000

Organizations & group practices 7

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1518300052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 I U Willets Rd",
            "address_purpose": "LOCATION",
            "city": "Albertson",
            "state": "NY",
            "postal_code": "115072217",
            "country_code": "US",
            "telephone_number": "516-448-2932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295 I U Willets Rd",
            "address_purpose": "LOCATION",
            "city": "Albertson",
            "state": "NY",
            "postal_code": "115072217",
            "country_code": "US",
            "telephone_number": "516-448-2932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "YOGESH",
        "middle_name": "SEAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS019303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.