Individual provider Active NPI

Shuchita Gupta, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Augusta, GA
National Provider Identifier
1679773642
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
081829 Issued in GA
Practice address
1350 Walton Way
Augusta, GA 30901
Phone
(706) 774-7855
Fax
(706) 774-8620
NPI assigned
Jul 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 081829 GA
Cardiovascular Disease Physician 207RC0000X MD450523 PA
Student in an Organized Health Care Education/Training Program 390200000X MT189781 PA
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 081829 GA Primary

Addresses

Primary practice location

1350 Walton Way
Augusta, GA 30901

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 774-7855

Other practice location 1

1348 Walton Way Ste 6700
Augusta, GA 30901-5111
Phone (706) 774-7855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20190206003299 GA Practitioner - Cardiovascular Disease (Cardiology) 1850571621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

95 Collier Rd NW
Suite 5015
Atlanta, GA 30309-1721
Phone (404) 605-5100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT189781PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2015 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease CurrentSince Sep 1, 2023 Accepting new patients
Einstein Practice Plan Inc Cardiovascular Disease CurrentSince Jul 1, 2015 Accepting new patients

Locations

95 Collier Rd NW
Ste 5015
Atlanta, GA 30309
Phone (404) 605-5699

1348 Walton Way
Ste 6700
Augusta, GA 30901
Phone (706) 722-4245

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

5501 Old York Rd
Bldg 3RD
Philadelphia, PA 19141
Phone (215) 456-3930

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

9880 Bustleton Ave
Ste 2
Philadelphia, PA 19115
Phone (215) 827-1500

Organizations & group practices 4

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 2

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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1679773642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-774-7855",
            "fax_number": "706-774-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "telephone_number": "706-774-7855",
            "fax_number": "706-774-8620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1348 Walton Way Ste 6700",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309015111",
            "country_code": "US",
            "telephone_number": "706-774-7855",
            "fax_number": "706-774-8620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SHUCHITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "081829",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD450523",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT189781",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "GA",
            "license": "081829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.