Individual provider Active NPI

Ruby Gupta

  • Hematology & Oncology Physician
  • Dearborn, MI
National Provider Identifier
1669707402
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
4301506554 Issued in MI
Practice address
4700 Schaefer Rd Ste 260
Dearborn, MI 48126-3743
Phone
(313) 583-5400
NPI assigned
Oct 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301506554 MI
Hematology & Oncology Physician 207RH0003X 4301506554 MI Primary

Addresses

Primary practice location

4700 Schaefer Rd Ste 260
Dearborn, MI 48126-3743

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

19725 Allen Rd Ste 101
Brownstown Twp, MI 48183-1090
Phone (734) 479-2371

Other practice location 2

4900 Mercury Dr Ste 201
Dearborn, MI 48126-2947
Phone (313) 583-5400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgupta95864@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220606000137 MI Practitioner - Internal Medicine 9830318120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beaumont Medical Group- Specialty Services 868 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5360

18101 Oakwood Blvd
Dearborn, MI 48124-4089

19725 Allen Rd
Suite 101
Brownstown TWP, MI 48183-1090
Phone (734) 479-2371

28100 Grand River Ave
Farmington Hills, MI 48336-5970

4700 Schaefer Rd
Suite 260
Dearborn, MI 48126-3743
Phone (248) 551-1515

5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3800

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142
  • Corewell Health Trenton Hospital Hospital, Trenton, MI, CCN 230176
  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301506554MIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Jun 2, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

19725 Allen Rd
Ste 101
Brownstown Twp, MI 48183
Phone (734) 467-2371

4900 Mercury Dr
Ste 201
Dearborn, MI 48126
Phone (313) 565-5743

4700 Schaefer Rd
Ste 260
Dearborn, MI 48126
Phone (313) 583-5400

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

3601 W 13 Mile Rd
Royal Oak, MI 48073

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

Interoperability endpoints

  • Direct secure messaging: rgupta1236363@epic00.shdirect.org
  • Direct secure messaging: rgupta686573@direct.hfhs.org

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 8

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": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1669707402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SCHAEFER RD STE 260",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263743",
            "telephone_number": "313-583-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19725 Allen Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Brownstown Twp",
            "state": "MI",
            "postal_code": "481831090",
            "country_code": "US",
            "telephone_number": "734-479-2371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 Mercury Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481262947",
            "country_code": "US",
            "telephone_number": "313-583-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "RUBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301506554",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301506554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgupta95864@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "4700 Schaefer Rd Ste 260",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481263743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.