Active NPI
Ashish K Gupta MD PSC
- Vascular Surgery Physician
- Louisville, KY
National Provider Identifier
1730333238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 35610
- Legal business name
- ASHISH K GUPTA MD PSC
- Practice address
- 4001 Dutchmans LN
Ste 1H
Louisville, KY 40207-4731 - Phone
- (502) 897-1890
- NPI assigned
- Nov 11, 2008
- Last updated
- Apr 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ashish K Gupta, MD
- Title
- Owner
- Phone
- (502) 897-6344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 35610 | KY | Primary |
Addresses
Primary practice location
4001 Dutchmans LN
Ste 1H
Louisville, KY 40207-4731
Mailing address
4001 Dutchmans LN
Ste 1H
Louisville, KY 40207-4731
Phone (502) 897-1890
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50021989 | Other | KY | PASSPORT |
| 7100061560 | Medicaid | KY | |
| 000000598746 | Other | KY | ANTHEM |
National Provider Directory
National Provider DirectoryLocations
1101 Spring St
#A
Jeffersonville, IN 47130
Phone (502) 897-1890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334102400000",
"number": "1730333238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 DUTCHMANS LN",
"address_2": "STE 1H",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074731",
"telephone_number": "502-897-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 DUTCHMANS LN",
"address_2": "STE 1H",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074731",
"telephone_number": "502-897-1890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHISH K GUPTA MD PSC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-11",
"last_updated": "2012-04-11",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "ASHISH",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-897-6344",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "KY",
"license": "35610",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50021989",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100061560",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000598746",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.