NPIMap

Individual provider Active NPI

Babu V Gupta, MD

  • Geriatric Psychiatry Physician
  • Cincinnati, OH
National Provider Identifier
1598763856
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
35066574 Issued in OH
Practice address
4015 Executive Park Dr Ste 320
Cincinnati, OH 45241-4015
Phone
(513) 563-0488
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 29831 KY
Geriatric Psychiatry Physician 2084P0805X 35066574 OH Primary

Addresses

Primary practice location

4015 Executive Park Dr Ste 320
Cincinnati, OH 45241-4015

Mailing address

PO Box 965
Middletown, OH 45044-0965
Phone (513) 563-0488

Other identifiers 2

IdentifierTypeStateIssuer
64006372MedicaidKY
0983299MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080807000400 OH Practitioner - Psychiatry 2264506344 Reassigns benefits to 2 organizations
I20100706000628 KY Practitioner - PsychiatryPractitioner - Neurology 2264506344 Reassigns benefits to 1 organization
Practice locations: Erlanger, KY; Cincinnati, OH

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Washington University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuropsych Center of Greater Cincinnati LLCGroup PAC ID 2567754815, 17 clinicians

Practice addresses (Care Compare)

4015 Executive Park Dr
Suite 320
Cincinnati, OH 45241-4015
Phone (513) 563-0488

476 Riddle Rd
Cincinnati, OH 45220-2411
Phone (513) 281-8001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.19 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsych Center of Greater Cincinnati LLC CurrentSince Dec 8, 2024 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Psychiatry CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

7699 US Route 42
Florence, KY 41042
Phone (513) 563-0488

431 Ohio Pike
Ste 103
Cincinnati, OH 45255
Phone (513) 563-0488

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

4015 Executive Park Dr
Ste 320
Cincinnati, OH 45241
Phone (513) 563-0488

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Organizations & group practices 4

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1598763856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450440965",
            "telephone_number": "513-563-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 EXECUTIVE PARK DR STE 320",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414015",
            "telephone_number": "513-563-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "BABU",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "29831",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OH",
            "license": "35066574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64006372",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0983299",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.