Individual provider Active NPI

Rina Modha Gupta, MD

  • Rheumatology Physician
  • Little Rock, AR
National Provider Identifier
1669968657
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
T2024-195 Issued in AR
Practice address
6 Shackleford Dr
Little Rock, AR 72211-2858
Phone
(501) 500-5001
Fax
(501) 500-5008
NPI assigned
Jul 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 292371 MA
Rheumatology Physician 207RR0500X T2024-195 AR Primary

Addresses

Primary practice location

6 Shackleford Dr
Little Rock, AR 72211-2858

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

Other names 1

  • Rina Bharat Modha Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251105002761 CA Practitioner - Internal Medicine 0244582039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

2620 Chester Ave
Bakersfield, CA 93301-2015
Phone (661) 337-7160

3733 San Dimas St
Suite 101
Bakersfield, CA 93301-1407
Phone (800) 353-5400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T2024-195ARMDRheumatology Physician
292371MAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 3, 2025 Accepting new patients
Arcare CurrentSince Aug 12, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince Feb 2, 2026 Accepting new patients
Arcare CurrentSince Aug 12, 2024 Accepting new patients
Arcare Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 3, 2025 Accepting new patients
Clinica Sierra Vista CurrentSince Feb 2, 2026 Accepting new patients
Clinica Sierra Vista Past Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

6 Shackleford Dr
Little Rock, AR 72211
Phone (500) 501-5001

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

625 34th St
Ste 100
Bakersfield, CA 93301

625 34th St
Ste 100200
Bakersfield, CA 93301
Phone (661) 328-4284

3733 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (800) 353-5400

Interoperability endpoints

  • Direct secure messaging: rina.gupta@arcare.directbygreenway.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1669968657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534",
            "fax_number": "870-301-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SHACKLEFORD DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112858",
            "telephone_number": "501-500-5001",
            "fax_number": "501-500-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "RINA",
        "middle_name": "MODHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MA",
            "license": "292371",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AR",
            "license": "T2024-195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RINA",
            "last_name": "MODHA",
            "middle_name": "BHARAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.