NPIMap

Individual provider Active NPI

Pawan K Gupta, MD

  • Nephrology Physician
  • Altoona, PA
National Provider Identifier
1649287012
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD066182L Issued in PA
Practice address
122 E Chestnut Ave
Altoona, PA 16601-5202
Phone
(814) 943-3600
Fax
(814) 943-3675
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD066182L PA Primary

Addresses

Primary practice location

122 E Chestnut Ave
Altoona, PA 16601-5202

Mailing address

122 E Chestnut Ave
Altoona, PA 16601
Phone (814) 943-3600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060322000604 PA Practitioner - NephrologyPractitioner - Internal Medicine 4880612803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pawan K Gupta MD LLCGroup PAC ID 8820006570, 2 clinicians

Practice addresses (Care Compare)

122 E Chestnut Ave
Altoona, PA 16601-5202
Phone (814) 943-3600

Hospital & facility affiliations

  • USRC Altoona Dialysis facility, Altoona, PA, CCN 392786
  • Upmc Altoona Hospital, Altoona, PA, CCN 390073
  • Penn Highlands Tyrone Hospital, Tyrone, PA, CCN 391307
  • Penn Highlands Huntingdon Hospital, Huntingdon, PA, CCN 390056

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
85.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pawan K Gupta MD LLC Nephrology CurrentSince Feb 12, 2006 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

122 E Chestnut Ave
Altoona, PA 16601
Phone (814) 943-3600

Organizations & group practices 2

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649287012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16601",
            "telephone_number": "814-943-3600",
            "fax_number": "814-943-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166015202",
            "telephone_number": "814-943-3600",
            "fax_number": "814-943-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "PAWAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD066182L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.