Active NPI
Vikesh Gupta, M.D.
- Internal Medicine Physician
- Columbia, MO
National Provider Identifier
1689844268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2010041792
- Practice address
- 1 Hospital Dr # Dc043.00
Columbia, MO 65201-5276 - Phone
- (573) 882-4464
- Fax
- (573) 884-8142
- NPI assigned
- Mar 10, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.052431 | IL | |
| Internal Medicine Physician | 207R00000X | 2010041792 | MO | Primary |
Addresses
Primary practice location
1 Hospital Dr # Dc043.00
Columbia, MO 65201-5276
Mailing address
1 Hospital Drive, Dc043.00
Columbia, MO 65212
UG
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.052431 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1689844268",
"addresses": [
{
"country_code": "UG",
"country_name": "Uganda",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "1 HOSPITAL DRIVE, DC043.00",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR # DC043.00",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652015276",
"telephone_number": "573-882-4464",
"fax_number": "573-884-8142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "VIKESH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-10",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.052431",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2010041792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.