Individual provider Active NPI

Naresh C Gupta, M.D.

  • Specialist
  • Hagerstown, MD
National Provider Identifier
1518914936
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0059541 Issued in MD
Practice address
11236 Robinwood Dr
Ste 106
Hagerstown, MD 21742-6800
Phone
(301) 797-4092
Fax
(301) 797-4093
NPI assigned
May 30, 2006
Last updated
Jun 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0059541 MD Primary

Addresses

Primary practice location

11236 Robinwood Dr
Ste 106
Hagerstown, MD 21742-6800

Mailing address

11007 Shalom LN
Hagerstown, MD 21742-4041
Phone (301) 733-4690

Other identifiers 1

IdentifierTypeStateIssuer
409717300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20031204001097 MD Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 7416852165 Practice locations: Hagerstown, MD
I20091125000173 PA Practitioner - Nuclear Medicine 7416852165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.52 of 100Reported as group
Quality
91.15
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hagerstown Imaging LLC CurrentSince Apr 30, 2006 Accepting new patients
Chesapeake Urology Associates LLC CurrentSince Mar 1, 2026 Accepting new patients
West Virginia University Medical Corporation Past Accepting new patients
Oncology Center of the Southwest, PA PastSince Dec 1, 2000 Accepting new patients
American Radiology Associates, P.a. Past Accepting new patients
American Radiology Associates, P.a. Past Accepting new patients

Locations

11236 Robinwood Dr
Ste 106
Hagerstown, MD 21742
Phone (301) 797-4092

1150 Professional Ct
Ste A
Hagerstown, MD 21740
Phone (301) 797-4092

20 Expedition Trl
Ste 100
Gettysburg, PA 17325
Phone (717) 334-8333

20 Expedition Trl
Ste 101
Gettysburg, PA 17325
Phone (717) 334-4033

20 Expedition Trl
Ste 103
Gettysburg, PA 17325
Phone (717) 337-5991

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1518914936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11007 SHALOM LN",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217424041",
            "telephone_number": "301-733-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11236 ROBINWOOD DR",
            "address_2": "STE 106",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426800",
            "telephone_number": "301-797-4092",
            "fax_number": "301-797-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "NARESH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0059541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409717300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.