Active NPI
Gaorav Pankaj Gupta, M.D., PH.D.
- Radiation Oncology Physician
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 2015-00215
- Practice address
- 101 Manning Dr
Chapel Hill, NC 27514-4220 - Phone
- (984) 974-1275
- NPI assigned
- Jun 9, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 253475 | NY | |
| Radiation Oncology Physician | 2085R0001X | 2015-00215 | NC | Primary |
Addresses
Primary practice location
101 Manning Dr
Chapel Hill, NC 27514-4220
Mailing address
101 Manning Dr
Chapel Hill, NC 27514-4220
Other practice location 1
1275 York Ave
New York, NY 10065-6007
Phone (646) 888-3567
Other practice location 2
4420 Lake Boone Trl Ste 102
Raleigh, NC 27607-7505
Phone (919) 784-3018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- JS Weill Medical College, Cornell University, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015-00215 | NC | MD | Radiation Oncology Physician |
| 253475 | NY | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rex Hospital Inc | Current | Accepting new patients | |
| University of North Carolina at Chapel Hill | Current | Accepting new patients | |
| Smithfield Radiation Oncology, LLC | Radiation Oncology | Current | Accepting new patients |
| Johnston Radiation Oncology LLC | Radiation Oncology | Current | Accepting new patients |
| Rex Hospital Inc | Past | Accepting new patients | |
| Park Ophthalmology | Past | Accepting new patients |
Locations
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
2076 Veterans Pkwy
Ste 120
Clayton, NC 27520
Phone (919) 585-8550
460 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2444
117 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 334-3900
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
11200 Governor Manly Way
Ste 102
Raleigh, NC 27614
Phone (919) 570-7550
4420 Lake Boone Trl
Ste 102
Raleigh, NC 27607
Phone (919) 784-1473
514 N Brightleaf Blvd
Ste 1200
Smithfield, NC 27577
Phone (919) 209-3555
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
-
- Radiation Oncology Physician
- Clayton, NC
- NPI 1578885406
-
- Radiation Oncology Physician
- Smithfield, NC
- NPI 1255360459
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1144248683
-
- Ophthalmology Physician
- Durham, NC
- NPI 1619150141
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1740416478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MANNING DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MANNING DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220",
"telephone_number": "984-974-1275"
}
],
"practiceLocations": [
{
"address_1": "1275 York Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100656007",
"country_code": "US",
"telephone_number": "646-888-3567",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4420 Lake Boone Trl Ste 102",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276077505",
"country_code": "US",
"telephone_number": "919-784-3018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "GAORAV",
"middle_name": "PANKAJ",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-09",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": "253475",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NC",
"license": "2015-00215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.