Individual provider Active NPI

Kamna Gupta, M.D.

  • Family Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1740600568
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
297375-1 Issued in NY
Practice address
9119 Queens Blvd
Elmhurst, NY 11373-5531
Phone
(646) 647-1253
NPI assigned
Apr 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 297375-1 NY Primary

Addresses

Primary practice location

9119 Queens Blvd
Elmhurst, NY 11373-5531

Mailing address

8152 242ND St
Bellerose, NY 11426-1314
Phone (718) 687-8603

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190306001420 NY Practitioner - Family Practice 3173862372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Suffolk HospitalGroup PAC ID 4981508082, 94 clinicians
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

1 Heroes Way
Riverhead, NY 11901-2054
Phone (631) 548-6101

9119 Queens Blvd
Elmhurst, NY 11373-5531
Phone (646) 647-1253

Hospital & facility affiliations

  • Peconic Bay Medical Center Hospital, Riverhead, NY, CCN 330107

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
297375-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Suffolk Hosptial CurrentSince Nov 6, 2023 Accepting new patients
Central Suffolk Hospital Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Mar 4, 2019 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Mar 4, 2019 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

9119 Queens Blvd
Elmhurst, NY 11373
Phone (646) 647-1253

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

1345 Rxr Plz
Fl 13
Uniondale, NY 11556
Phone (516) 453-0435

Interoperability endpoints

  • Direct secure messaging: kgupta65418@northwell.direct-ci.com
  • Direct secure messaging: kamna.gupta.1@2983.direct.athenahealth.com

Organizations & group practices 5

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 1

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": "1397865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1740600568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8152 242ND ST",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261314",
            "telephone_number": "718-687-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735531",
            "telephone_number": "646-647-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "KAMNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-19",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "297375-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.