Organization Active NPI

Rakesh K Gupta MD

  • Internal Medicine Physician
  • Amelia, OH
National Provider Identifier
1568443141
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RAKESH K GUPTA MD
Practice address
1324 State Route 125
Suite 101
Amelia, OH 45102-0015
Phone
(513) 752-0004
Fax
(513) 752-0731
NPI assigned
Nov 9, 2005
Last updated
Oct 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Rakesh K Gupta, MD
Title
President
Phone
(513) 752-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1324 State Route 125
Suite 101
Amelia, OH 45102-0015

Mailing address

1324 State Route 125
Suite 101
Amelia, OH 45102-0015
Phone (513) 752-0004

Other identifiers 1

IdentifierTypeStateIssuer
0418775MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1568443141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 STATE ROUTE 125",
            "address_2": "SUITE 101",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451020015",
            "telephone_number": "513-752-0004",
            "fax_number": "513-752-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 STATE ROUTE 125",
            "address_2": "SUITE 101",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451020015",
            "telephone_number": "513-752-0004",
            "fax_number": "513-752-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAKESH K GUPTA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-752-0004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418775",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amelia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.