Organization Active NPI

Ashish K Gupta MD PSC

  • Vascular Surgery Physician
  • Louisville, KY
National Provider Identifier
1730333238
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35610 Issued in KY
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
50021989OtherKYPASSPORT
7100061560MedicaidKY
000000598746OtherKYANTHEM

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.