NPIMap

Individual provider Active NPI

Vikas Gupta, MD

  • Internal Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1710974167
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
010153803 Issued in VA
Practice address
912 Lafayette Blvd
Fredericksburg, VA 22401-5617
Phone
(540) 656-2800
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 010153803 VA Primary

Addresses

Primary practice location

912 Lafayette Blvd
Fredericksburg, VA 22401-5617

Mailing address

912 Lafayette Blvd
Fredericksburg, VA 22401-5617
Phone (540) 656-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110504000827 VA Practitioner - Internal MedicinePractitioner - Sleep Medicine 9739364886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sleep Medicine
Education
University of Maryland School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

912 Lafayette Blvd
Fredericksburg, VA 22401-5617
Phone (540) 656-2800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010153803VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Internal Medicine, PLC Internal Medicine CurrentSince Dec 1, 2001 Accepting new patients
Central Virginia Sleep Center, PLC CurrentSince Jun 7, 2012 Accepting new patients

Locations

912 Lafayette Blvd
Fredericksburg, VA 22401
Phone (540) 656-2800

Interoperability endpoints

  • Direct secure messaging: vgupta@730.securemail.prognocis.com

Organizations & group practices 2

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 10

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1710974167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 LAFAYETTE BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015617",
            "telephone_number": "540-656-2800",
            "fax_number": "540-479-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 LAFAYETTE BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015617",
            "telephone_number": "540-656-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "VIKAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "010153803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.