Individual provider Active NPI

Asha Gupta, MD

  • Allergy & Immunology Physician
  • Johnson City, NY
National Provider Identifier
1669463691
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
1243061 Issued in NY
Practice address
260 Riverside Dr
Johnson City, NY 13790-2727
Phone
(607) 798-7811
Fax
(607) 770-7035
NPI assigned
Oct 31, 2005
Last updated
Apr 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 1243061 NY Primary

Addresses

Primary practice location

260 Riverside Dr
Johnson City, NY 13790-2727

Mailing address

260 Riverside Dr
Johnson City, NY 13790-2727
Phone (607) 798-7811

Other identifiers 1

IdentifierTypeStateIssuer
00775860MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060118000283 NY Practitioner - Allergy/Immunology 3678597622 Reassigns benefits to 1 organization
Practice locations: Johnson City, NY

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smith Allergy and Asthma of Central New York PLLCGroup PAC ID 3476713033, 6 clinicians

Practice addresses (Care Compare)

401 Main St
Johnson City, NY 13790-2064
Phone (607) 798-7811

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
124306NYMDSocial Worker
1243061NYMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Allergy and Asthma of Central New York PLLC Allergy & Immunology CurrentSince Aug 24, 2024 Accepting new patients
Asha Gupta, MD Allergy & Immunology PastSince Jan 1, 1990 Accepting new patients

Locations

2977 Westinghouse Rd
Horseheads, NY 14845
Phone (607) 378-6662

2430 N Triphammer Rd
Ste B
Ithaca, NY 14850
Phone (607) 379-6072

401 Main St
Johnson City, NY 13790
Phone (607) 798-7811

Interoperability endpoints

  • Direct secure messaging: agupta@smithallergy.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1669463691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 RIVERSIDE DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902727",
            "telephone_number": "607-798-7811",
            "fax_number": "607-770-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 RIVERSIDE DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902727",
            "telephone_number": "607-798-7811",
            "fax_number": "607-770-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ASHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "1243061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00775860",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.