Active NPI
Nisha Gupta, M.D.
- Pediatrics Physician
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101266536
- Practice address
- 3300 Gallows Rd
Falls Church, VA 22042 - Phone
- (703) 776-4001
- Fax
- (703) 776-7113
- NPI assigned
- Apr 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 149187 | CA | |
| Pediatrics Physician | 208000000X | 0101266536 | VA | Primary |
Addresses
Primary practice location
3300 Gallows Rd
Falls Church, VA 22042
Mailing address
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
Other practice location 1
550 16th St
San Francisco, CA 94158-2545
Phone (415) 476-5190
Other practice location 2
550 16th St
San Francisco, CA 94158-2545
Phone (415) 476-5190
Other practice location 3
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-4486
Other practice location 4
1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ngupta641585@soc.inova.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149187 | CA | MD | Pediatrics Physician |
| 0101266536 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Winchester Medical Center | Pediatrics | Current | Accepting new patients |
| Inova Health Care Services | Pediatrics | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| Winchester Medical Center, Inc. | Current | Accepting new patients |
Locations
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
Interoperability endpoints
- ngupta641585@soc.inova.org
- ngupta92977@direct.metrohealth.org
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.
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
DC, Pediatrics
-
- Critical Care Medicine (Internal Medicine) Physician
- Winchester, VA
- NPI 1679711261
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Pediatrics Physician
- Winchester, VA
- NPI 1013874742
-
- Urology Physician
- Winchester, VA
- NPI 1427597830
-
- Diagnostic Radiology Physician
- Waldorf, MD
- NPI 1851829550
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1609294248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 GALLOWS RD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423307",
"telephone_number": "703-776-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 GALLOWS RD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "22042",
"telephone_number": "703-776-4001",
"fax_number": "703-776-7113"
}
],
"practiceLocations": [
{
"address_1": "550 16th St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941582545",
"country_code": "US",
"telephone_number": "415-476-5190",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 16th St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941582545",
"country_code": "US",
"telephone_number": "415-476-5190",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 Metrohealth Dr",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441091900",
"country_code": "US",
"telephone_number": "216-778-4486",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1840 Amherst St",
"address_purpose": "LOCATION",
"city": "Winchester",
"state": "VA",
"postal_code": "226012808",
"country_code": "US",
"telephone_number": "540-536-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "NISHA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-01",
"last_updated": "2023-03-07",
"certification_date": "2021-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "149187",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101266536",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ngupta641585@soc.inova.org",
"affiliation": "N",
"address_1": "1840 Amherst St",
"city": "Winchester",
"state": "VA",
"country_code": "US",
"postal_code": "226012808",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.