NPIMap

Individual provider Active NPI

Vikas Gupta, M.D.

  • Neurology Physician
  • Hampton, VA
National Provider Identifier
1720367733
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101274298 Issued in VA
Practice address
4000 Coliseum Dr Ste 200
Hampton, VA 23666-5975
Phone
(757) 736-8050
Fax
(757) 736-8080
NPI assigned
Aug 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy Physician 2084E0001X 0101274298 VA
Neurology Physician 2084N0400X 284873 NY
Clinical Neurophysiology Physician 2084N0600X 284873 NY
Neurology Physician 2084N0400X 0101274298 VA Primary

Addresses

Primary practice location

4000 Coliseum Dr Ste 200
Hampton, VA 23666-5975

Mailing address

4000 Coliseum Dr Ste 200
Hampton, VA 23666-5975
Phone (757) 736-8050

Other practice location 1

739 Irving Ave
Suite 340
Syracuse, NY 13210-1651
Phone (315) 470-7747

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vgupta@crousemed.medentdirect.com Direct Crouse Medical Practice, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220804000181 NC Practitioner - Neurology 6305134792 Reassigns benefits to 1 organization
I20220817001403 VA Practitioner - Neurology 6305134792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Pittsburgh School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

1144 N Rd St
Elizabeth City, NC 27909-3473
Phone (252) 255-6026

4000 Coliseum Dr
Suite 200
Hampton, VA 23666-5975
Phone (757) 736-8050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Neurology CurrentSince Jun 20, 2022 Accepting new patients
Albemarle Physician Services - Sentara, Inc Neurology CurrentSince Jul 1, 2022 Accepting new patients
Albemarle Physician Services - Sentara, Inc CurrentSince Jul 1, 2022 Accepting new patients
Crouse Health Inc. Past Accepting new patients

Locations

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

4000 Coliseum Dr
Ste 200
Hampton, VA 23666
Phone (757) 736-8050

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • Direct secure messaging: vgupta@crousemed.medentdirect.com
  • Direct secure messaging: vgupta744570@direct.sentara.net

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.

Hospital & facility affiliations 6

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": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1720367733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 COLISEUM DR STE 200",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665975",
            "telephone_number": "757-736-8050",
            "fax_number": "757-736-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 COLISEUM DR STE 200",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665975",
            "telephone_number": "757-736-8050",
            "fax_number": "757-736-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "739 Irving Ave",
            "address_2": "Suite 340",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101651",
            "country_code": "US",
            "telephone_number": "315-470-7747",
            "fax_number": "315-470-7758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "VIKAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "VA",
            "license": "0101274298",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "284873",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "284873",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101274298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vgupta@crousemed.medentdirect.com",
            "affiliation": "Y",
            "endpointDescription": "email address in Medent",
            "affiliationName": "Crouse Medical Practice, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "739 Irving Ave",
            "address_2": "Suite 340",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132101651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.