NPIMap

Individual provider Active NPI

Baldev K Gupta, M.D.

  • Internal Medicine Physician
  • Trenton, MI
National Provider Identifier
1720168164
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301070829 Issued in MI
Practice address
3700 West Rd
Trenton, MI 48183-2224
Phone
(734) 676-5600
Fax
(734) 676-5591
NPI assigned
Oct 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4301070829 MI Primary

Addresses

Primary practice location

3700 West Rd
Trenton, MI 48183-2224

Mailing address

3700 West Rd
Trenton, MI 48183-2224
Phone (734) 676-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040220000661 MI Practitioner - Internal Medicine 0244125847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baldev Gupta MD PCGroup PAC ID 9335161868, 3 clinicians

Practice addresses (Care Compare)

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-6000

3700 W Rd
Trenton, MI 48183-2243
Phone (734) 676-5600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baldev Gupta M.D., P.C. Internal Medicine CurrentSince Jan 1, 2006 Accepting new patients
Riverview Medical Investors Limited Partnership Past Accepting new patients
Riverview Medical Investors Limited Partnership Past Accepting new patients
Henry Ford Wyandotte Hospital Past Accepting new patients

Locations

3700 West Rd
Trenton, MI 48183
Phone (734) 676-5600

2333 Biddle Ave
Fl 8
Wyandotte, MI 48192
Phone (734) 246-5500

Interoperability endpoints

  • Direct secure messaging: bgupta57279@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJGJBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJGJBA/Endpoint/IJGJBA

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rivergate TerraceRiverview, MI, CCN 235516 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2010
Mar 31, 2025
Rivergate Health Care CenterRiverview, MI, CCN 235297 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2010
Feb 28, 2025
Odyssey Hospice Care LLCTroy, MI, CCN 231734 Hospice W-2 Managing Employee (50%) Dec 23, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720168164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832224",
            "telephone_number": "734-676-5600",
            "fax_number": "734-676-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832224",
            "telephone_number": "734-676-5600",
            "fax_number": "734-676-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "BALDEV",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301070829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

Verify at the official NPI Registry.