NPIMap

Individual provider Active NPI

Rimda Gupta, M.D.

  • Internal Medicine Physician
  • Tullahoma, TN
National Provider Identifier
1679566772
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27908 Issued in TN
Practice address
1330 Cedar LN
Suite 100
Tullahoma, TN 37388-2283
Phone
(931) 393-3366
Fax
(931) 393-1065
NPI assigned
Aug 24, 2005
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27908 TN Primary

Addresses

Primary practice location

1330 Cedar LN
Suite 100
Tullahoma, TN 37388-2283

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 936-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rimda.gupta.1@5872.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928001333 TN Practitioner - Internal Medicine 4385543990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1330 Cedar LN
Tullahoma, TN 37388-2283
Phone (931) 393-3366

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27908TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt Integrated Providers, LLC CurrentSince Feb 10, 2021 Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Vanderbilt Integrated Providers, LLC Internal Medicine CurrentSince Feb 10, 2021 Accepting new patients
Cardiology Group, PC Past Accepting new patients
Cardiology & Vascular Associates Past Accepting new patients

Locations

1400 Willow Dr
Manchester, TN 37355
Phone (931) 409-2194

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

1330 Cedar Ln
Tullahoma, TN 37388
Phone (931) 393-3366

1330 Cedar Ln
Ste 100
Tullahoma, TN 37388
Phone (931) 393-3366

1330 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (931) 455-1092

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

1805 N Jackson St
Ste 100
Tullahoma, TN 37388
Phone (931) 455-7767

Interoperability endpoints

  • Direct secure messaging: rgupta602267@direct.vumc.org
  • Direct secure messaging: rimda.gupta.1@5872.direct.athenahealth.com
  • Direct secure messaging: rimdagupta@tnmhpf.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1679566772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "telephone_number": "615-936-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CEDAR LN",
            "address_2": "SUITE 100",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882283",
            "telephone_number": "931-393-3366",
            "fax_number": "931-393-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "RIMDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "27908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rimda.gupta.1@5872.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1330 Cedar Ln",
            "address_2": "Suite 100",
            "city": "Tullahoma",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373882283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.