Individual provider Active NPI

Mukesh Gupta, MD

  • Cardiovascular Disease Physician
  • Owensboro, KY
National Provider Identifier
1679567655
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
32463 Issued in KY
Practice address
1301 Pleasant Valley Rd Ste 202
Owensboro, KY 42303-9774
Phone
(270) 417-7500
Fax
(270) 417-7509
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 32463 KY
Cardiovascular Disease Physician 207RC0000X 32463 KY Primary
Cardiovascular Disease Physician 207RC0000X 01048460A IN

Addresses

Primary practice location

1301 Pleasant Valley Rd Ste 202
Owensboro, KY 42303-9774

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other practice location 1

2025 W Everly Brothers Blvd Ste 1A
Powderly, KY 42367-5401
Phone (270) 377-2600

Other practice location 2

510 Ruby Dr
Madisonville, KY 42431-2168
Phone (270) 399-7900

Other practice location 3

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-7500

Other practice location 4

1200 Barret Blvd
Henderson, KY 42420-4950
Phone (270) 844-8600

Other practice location 5

1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 417-7500

Other practice location 6

2200 E Parrish Ave Bldg D
Owensboro, KY 42303-1458
Phone (270) 417-7500

Other identifiers 1

IdentifierTypeStateIssuer
64324635MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgupta9474@direct.owensborohealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080125000145 KY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4486634102 Reassigns benefits to 1 organization
I20260121002460 DE Practitioner - Cardiovascular Disease (Cardiology) 4486634102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811

1301 Pleasant Valley Rd
Owensboro, KY 42303-9774

2200 E Parrish Ave
Owensboro, KY 42303-1449
Phone (270) 926-3700

2211 Mayfair Dr
Owensboro, KY 42301-4569

440 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 338-8000

910 Wallace Ave
Leitchfield, KY 42754-2414
Phone (270) 259-9491

PO Box
Suite 23229
Owensboro, KY 42304-3229

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Pacemaker insertion or repair13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32483KYMDInternal Medicine Physician
32463KYMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Feb 16, 2026 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Apr 1, 2022 Accepting new patients
Tidalhealth Physician Network, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Lawrence E Gering M.D., P.C. Past Accepting new patients

Locations

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

Organizations & group practices 5

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 4

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1679567655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLEASANT VALLEY RD STE 202",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039774",
            "telephone_number": "270-417-7500",
            "fax_number": "270-417-7509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 W Everly Brothers Blvd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Powderly",
            "state": "KY",
            "postal_code": "423675401",
            "country_code": "US",
            "telephone_number": "270-377-2600",
            "fax_number": "270-377-2610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Ruby Dr",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424312168",
            "country_code": "US",
            "telephone_number": "270-399-7900",
            "fax_number": "270-399-7910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423039811",
            "country_code": "US",
            "telephone_number": "270-417-7500",
            "fax_number": "270-417-7509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Barret Blvd",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424204950",
            "country_code": "US",
            "telephone_number": "270-844-8600",
            "fax_number": "270-844-8610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1006 Ford Ave",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423014677",
            "country_code": "US",
            "telephone_number": "270-417-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 E Parrish Ave Bldg D",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423031458",
            "country_code": "US",
            "telephone_number": "270-417-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "MUKESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "32463",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "32463",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01048460A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64324635",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgupta9474@direct.owensborohealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1301 Pleasant Valley Rd Ste 202",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423039774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.