Organization Active NPI

Shaminder M Gupta, Apmc

  • Nephrology Physician
  • Kenner, LA
National Provider Identifier
1548208002
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
024216 Issued in LA
Legal business name
SHAMINDER M GUPTA, APMC
Practice address
200 W Esplanade Ave
Suite 106
Kenner, LA 70065-2489
Phone
(504) 712-7000
Fax
(504) 712-7040
NPI assigned
Jun 4, 2006
Last updated
Apr 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Dr. Shaminder Mohan Gupta, M.D.
Title
President
Phone
(504) 908-7073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 024216 LA Primary

Addresses

Primary practice location

200 W Esplanade Ave
Suite 106
Kenner, LA 70065-2489

Mailing address

200 W Esplanade Ave
Suite 106
Kenner, LA 70065-2489
Phone (985) 850-2388

Other identifiers 2

IdentifierTypeStateIssuer
1489697MedicaidLA
1730183401OtherLANPI INDIVIDUAL NUMBER

National Provider Directory

National Provider Directory

Locations

200 W Esplanade Ave
Ste 106
Kenner, LA 70065
Phone (504) 471-3100

3409 Williams Blvd
#A2
Kenner, LA 70065
Phone (504) 305-7380

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1548208002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "SUITE 106",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "985-850-2388",
            "fax_number": "985-873-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "SUITE 106",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "504-712-7000",
            "fax_number": "504-712-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMINDER M GUPTA, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SHAMINDER",
        "authorized_official_middle_name": "MOHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-908-7073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "024216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1489697",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL NUMBER",
            "identifier": "1730183401",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.