Individual provider Active NPI

Ghanshyam Gupta, M.D

  • Gastroenterology Physician
  • Rockville, MD
National Provider Identifier
1619089000
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0046398 Issued in MD
Practice address
10110 Molecular Dr Ste 111
Rockville, MD 20850-7538
Phone
(301) 838-4224
Fax
(301) 838-4244
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0046398 MD Primary

Addresses

Primary practice location

10110 Molecular Dr Ste 111
Rockville, MD 20850-7538

Mailing address

PO Box 60410
Potomac, MD 20859-0410
Phone (301) 838-4224

Other identifiers 4

IdentifierTypeStateIssuer
026309900MedicaidDC
53363801OtherMDBC.BS.
407274000MedicaidMD
B0750001OtherDCBC.BS.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050119001093 DC Practitioner - Gastroenterology 6103899364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ghanshyam Gupta, M.D. PCGroup PAC ID 0840249587, 6 clinicians

Practice addresses (Care Compare)

10110 Molecular Dr
Suite 111
Rockville, MD 20850-7538
Phone (301) 838-4224

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy113
Upper gastrointestinal (GI) endoscopy for acid reflux168

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ghanshyam Gupta, M.D. PC Gastroenterology CurrentSince Jan 1, 2005 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Ghanshyam Gupta, M.D. PC Gastroenterology Past Accepting new patients

Locations

10110 Molecular Dr
Ste 104
Rockville, MD 20850
Phone (301) 838-0437

10110 Molecular Dr
Ste 111
Rockville, MD 20850
Phone (301) 468-2400

2415 Musgrove Rd
Ste 109
Silver Spring, MD 20904
Phone (301) 384-5700

Organizations & group practices 3

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 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1619089000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60410",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208590410",
            "telephone_number": "301-838-4224",
            "fax_number": "301-838-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR STE 111",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507538",
            "telephone_number": "301-838-4224",
            "fax_number": "301-838-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "GHANSHYAM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0046398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026309900",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC.BS.",
            "identifier": "53363801",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407274000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC.BS.",
            "identifier": "B0750001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.