Individual provider Active NPI

Ankur Gupta, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Dayton, OH
National Provider Identifier
1639367162
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35-098338 Issued in OH
Practice address
1222 S Patterson Blvd
Ste 220
Dayton, OH 45402-2684
Phone
(937) 223-5350
Fax
(937) 224-3112
NPI assigned
Oct 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 35-098338 OH Primary
Internal Medicine Physician 207R00000X 35-098338 OH
Internal Medicine Physician 207R00000X #390200000X NY

Addresses

Primary practice location

1222 S Patterson Blvd
Ste 220
Dayton, OH 45402-2684

Mailing address

725 University Blvd
Dayton, OH 45435-0001
Phone (937) 245-7100

Other practice location 1

5678 Far Hills Ave
Kettering, OH 45429-2206
Phone (937) 279-8630

Other identifiers 1

IdentifierTypeStateIssuer
0062566MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120820000633 OH Practitioner - EndocrinologyPractitioner - Internal Medicine 4486801875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Premier Health Specialists Inc 576 clinicians

Practice addresses (Care Compare)

450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773

5678 Far Hills Ave
Kettering, OH 45429-2206
Phone (937) 279-8630

7058 Corporate Way
Suite 3
Dayton, OH 45459-4243
Phone (937) 991-0800

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Merit-based Incentive Payment System (MIPS)

Final score
84.17 of 100Reported as group
Quality
65.6
Promoting interoperability
100
Improvement activities
40
Cost
74.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-098338OHMDEndocrinology, Diabetes & Metabolism Physician
#390200000XNYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Confermed PC Internal Medicine Current Accepting new patients
Wecare Health Clinic Group, LLC CurrentSince Dec 5, 2019 Accepting new patients
Premier Health Specialists Inc Internal Medicine CurrentSince Feb 9, 2025 Accepting new patients
Fresh Start Recovery. LLC Current Accepting new patients
Premier Health Specialists Inc CurrentSince Feb 9, 2025 Accepting new patients
Wright State Physicians Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients
Wecare Health Clinic Group, LLC Past Accepting new patients
Wecare Health Clinic Group, LLC Past Accepting new patients

Locations

7058 Corporate Way
Ste 3
Dayton, OH 45459
Phone (937) 586-7729

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

5678 Far Hills Ave
Kettering, OH 45429
Phone (937) 279-8630

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Organizations & group practices 10

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 1

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": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1639367162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 UNIVERSITY BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454350001",
            "telephone_number": "937-245-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S PATTERSON BLVD",
            "address_2": "STE 220",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022684",
            "telephone_number": "937-223-5350",
            "fax_number": "937-224-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5678 Far Hills Ave",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454292206",
            "country_code": "US",
            "telephone_number": "937-279-8630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ANKUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35-098338",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-098338",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "#390200000X",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062566",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.