Individual provider Active NPI

Nishant Kumar Gupta, MD

  • Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1699270710
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
168098 Issued in FL
Practice address
4700 Millenia Blvd Ste 500
Orlando, FL 32839-6019
Phone
(929) 609-4465
Fax
(646) 974-8451
NPI assigned
Mar 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 318995 NY
Psychiatry Physician 2084P0800X 168098 FL Primary

Addresses

Primary practice location

4700 Millenia Blvd Ste 500
Orlando, FL 32839-6019

Mailing address

4700 Millenia Blvd Ste 500
Orlando, FL 32839-6019
Phone (929) 609-4465

Other identifiers 1

IdentifierTypeStateIssuer
122849100MedicaidFL

Other names 1

  • Nishant Kumar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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
I20221018002982 NY Practitioner - Psychiatry 3779833736
I20240607001197 FL Practitioner - Psychiatry 3779833736 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
State University of New York Downstate Medical Center, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care of Central Florida IncGroup PAC ID 8628094018, 39 clinicians

Practice addresses (Care Compare)

12301 Lake Underhill Rd
Suite 215
Orlando, FL 32828-4511
Phone (321) 235-0692

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
168098FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Central Florida Inc CurrentSince Jun 3, 2024 Accepting new patients
Aspire Health Partners, Inc. CurrentSince May 12, 2025 Accepting new patients
HPG Psychiatry, LLC Psychiatry CurrentSince Aug 1, 2025 Accepting new patients
Brigham & Womens Physicians Organization Inc PastSince Dec 1, 2020 Accepting new patients

Locations

5151 Adanson St
Ste 201
Orlando, FL 32804
Phone (407) 494-1509

3564 E Avalon Park Blvd
Orlando, FL 32828
Phone (407) 405-4741

1800 Mercy Dr
Orlando, FL 32808
Phone (407) 295-5151

12301 Lake Underhill Rd
Ste 215
Orlando, FL 32828
Phone 3212350692102

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: nishant.gupta@4081.securemail.prognocis.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1699270710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 MILLENIA BLVD STE 500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396019",
            "telephone_number": "929-609-4465",
            "fax_number": "646-974-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 MILLENIA BLVD STE 500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396019",
            "telephone_number": "929-609-4465",
            "fax_number": "646-974-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "NISHANT",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "318995",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "168098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122849100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NISHANT",
            "last_name": "KUMAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.