Active NPI
Ruby Gupta
- Hematology & Oncology Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 4301506554
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Beaumont Hospital Royal Oak
- Corewell Health Wayne Hospital
- Corewell Health Trenton Hospital
- Beaumont Hospital - Taylor
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.37 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301506554 | MI | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group- Specialty Services | Current | 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
- rgupta1236363@epic00.shdirect.org
- 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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.