Aditi Gupta
Individual provider Active NPI Family Medicine Physician · Winthrop, MA
NPI 1700412640 · NPPES record last updated Aug 25, 2023
Key facts
- NPI
- 1700412640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1016344 (MA)
- Practice address
- 52 Crest Ave Ste 1
Winthrop, MA 02152-1058 - Phone
- (161) 784-6862
- NPI assigned
- Mar 22, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hallmark Health Medical Associates Inc
Practice addresses (Care Compare)
425 Revere St
Revere, MA 02151-4543
Phone (781) 665-6606
52 Crest Ave
Suite 1
Winthrop, MA 02152-1058
Phone (617) 846-8622
Hospital & facility affiliations
- Melrosewakefield Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230919003643 | MA | Practitioner - Family Practice | 6002270337 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1016344 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hallmark Health Medical Associates Inc | Family Medicine | Current |
Accepting new patients |
Locations
425 Revere St
Revere, MA 02151
Phone (781) 286-1313
52 Crest Ave
Ste 1
Winthrop, MA 02152
Phone (617) 846-8622
52 Crest Ave
Winthrop, MA 02152
Phone (617) 539-0197
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1016344 | MA | Yes |
Addresses
Primary practice location
52 Crest Ave Ste 1
Winthrop, MA 02152-1058
Mailing address
14 E Olive St
Long Beach, NY 11561-3507
Other providers in Winthrop, MA
- Samantha Rose Gillis
- Ann Goldberg
- Megan Marie Gomes
- Jordan Griffiths
- Laverne D Gugino
- Daniel Joseph Hallissy
- April Halloran
- Evelyn Grace Hamilton
- Brenda Hammerstrom
- Lisa Marie Hansen
All providers in Winthrop, MA · Family Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.