NPIMap

Individual provider Active NPI

Smita Gupta, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Campbell, CA
National Provider Identifier
1740284249
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
C134136 Issued in CA
Practice address
50 E Hamilton Ave Ste 280
Campbell, CA 95008-0273
Phone
(408) 227-2646
Fax
(408) 227-2663
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C134136 CA
Internal Medicine Physician 207R00000X MD424951 PA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036-118 IL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 01069530A IN
Endocrinology, Diabetes & Metabolism Physician 207RE0101X C134136 CA Primary

Addresses

Primary practice location

50 E Hamilton Ave Ste 280
Campbell, CA 95008-0273

Mailing address

50 E Hamilton Ave Ste 280
Campbell, CA 95008-0273
Phone (408) 227-2646

Other practice location 1

2690 S White Rd Ste 50
San Jose, CA 95148-2075
Phone (408) 223-7000 ext. 2

Other identifiers 5

IdentifierTypeStateIssuer
201021470MedicaidIN
000000715918OtherINANTHEM
036118898MedicaidIL
P00478877OtherILRR MDCR
P01018467OtherINRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20171013002139 CA Practitioner - Endocrinology 3870543614 Reassigns benefits to 2 organizations
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

50 E Hamilton Ave
Suite 280
Campbell, CA 95008-0273
Phone (408) 227-2646

Hospital & facility affiliations

  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C134136CAMDInternal Medicine Physician
MD424951PAMDInternal Medicine Physician
036-118ILMDEndocrinology, Diabetes & Metabolism Physician
01069530AINMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care CurrentSince Jun 1, 2022 Accepting new patients
Stanford Health Care Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
University Healthcare Alliance Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Affinity Medical Group Past Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Past Accepting new patients
Memorial Medical Center Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: sgupta385554@direct.stanfordhealthcare.org

Organizations & group practices 9

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 8

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1740284249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E HAMILTON AVE STE 280",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080273",
            "telephone_number": "408-227-2646",
            "fax_number": "408-227-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E HAMILTON AVE STE 280",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080273",
            "telephone_number": "408-227-2646",
            "fax_number": "408-227-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2690 S White Rd Ste 50",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951482075",
            "country_code": "US",
            "telephone_number": "408-223-7000 x2",
            "fax_number": "408-223-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SMITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C134136",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD424951",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036-118",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "01069530A",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "C134136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201021470",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000715918",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036118898",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MDCR",
            "identifier": "P00478877",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01018467",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.