Active NPI
Vedant Gupta, D.O
- Hospitalist Physician
- Atlanta, GA
National Provider Identifier
1679967780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 943311
- Practice address
- 1405 Clifton Rd NE # Tower2
Atlanta, GA 30322-1060 - Phone
- (706) 414-7198
- NPI assigned
- Mar 26, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34.012931 | OH | |
| Hospitalist Physician | 208M00000X | 007957 | AZ | |
| Hospitalist Physician | 208M00000X | 943311 | GA | Primary |
Addresses
Primary practice location
1405 Clifton Rd NE # Tower2
Atlanta, GA 30322-1060
Mailing address
1405 Clifton Rd NE # Tower2
Atlanta, GA 30322-1060
Phone (706) 414-7198
Other practice location 1
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 933-0777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 572001 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.012931 | OH | MD | Pediatrics Physician |
| 943311 | GA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Phoenix Children'S Hospital | Pediatrics | Current | Accepting new patients |
| Arthur M. Blank Hospital, Inc. | Past | Accepting new patients | |
| Scottish Rite Childrens Medical Ctr | Past | Accepting new patients | |
| Egleston Children'S Hospital at Emory University, Inc. | Past | Accepting new patients |
Locations
3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1679703441
-
- Children's Hospital
- Atlanta, GA
- NPI 1689744450
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Atlanta, GA
- NPI 1558416701
-
- Children's Hospital
- Atlanta, GA
- NPI 1922178789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1679967780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 CLIFTON RD NE # TOWER2",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221060",
"telephone_number": "706-414-7198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 CLIFTON RD NE # TOWER2",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221060",
"telephone_number": "706-414-7198"
}
],
"practiceLocations": [
{
"address_1": "1919 E Thomas Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850167710",
"country_code": "US",
"telephone_number": "602-933-0777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "VEDANT",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-26",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "34.012931",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "007957",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "943311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "572001",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.