Active NPI
Rina Modha Gupta, MD
- Rheumatology Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- T2024-195
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| T2024-195 | AR | MD | Rheumatology Physician |
| 292371 | MA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Arcare | Current | Accepting new patients | |
| Clinica Sierra Vista | Current | Accepting new patients | |
| Arcare | Current | Accepting new patients | |
| Arcare | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Clinica Sierra Vista | Current | 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
- 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.
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1861494338
-
- Federally Qualified Health Center (FQHC)
- Augusta, AR
- NPI 1275635542
-
- Federally Qualified Health Center (FQHC)
- Little Rock, AR
- NPI 1346814670
-
- Federally Qualified Health Center (FQHC)
- Jacksonville, AR
- NPI 1821802729
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1144897505
-
- Community/Retail Pharmacy
- Lamont, CA
- NPI 1275161325
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Bakersfield, CA
- NPI 1861424376
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1245234673
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.