NPIMap

Individual provider Active NPI

Bhagwan Dass Gupta, MD FACC

  • Cardiovascular Disease Physician
  • Lynnfield, MA
National Provider Identifier
1750497277
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
44639 Issued in MA
Practice address
Post Office Square Lynnfield Med BLDG
Lynnfield, MA 01940
Phone
(781) 599-0594
Fax
(781) 581-6540
NPI assigned
Aug 21, 2006
Last updated
Jan 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44639 MA
Cardiovascular Disease Physician 207RC0000X 44639 MA Primary

Addresses

Primary practice location

Post Office Square Lynnfield Med BLDG
Lynnfield, MA 01940

Mailing address

81 Highland Ave
North Shore Health Systems
Salem, MA 01970
Phone (978) 354-4173

Other identifiers 1

IdentifierTypeStateIssuer
9738894MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051018001230 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0749206886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Congenial Healthcare LLCGroup PAC ID 5395011522, 12 clinicians

Practice addresses (Care Compare)

3 Post Office SQ
Suite F
Lynnfield, MA 01940-2218
Phone (781) 599-0594

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Congenial Healthcare, LLC Internal Medicine CurrentSince Oct 1, 2017 Accepting new patients
Congenial Healthcare, LLC CurrentSince Oct 1, 2017 Accepting new patients
Congenial Healthcare, LLC Internal Medicine Current Accepting new patients
Lahey Clinic, Inc. Internal Medicine Past Accepting new patients

Locations

10 Post Office Sq
Lynnfield, MA 01940
Phone (781) 599-0594

10 Post Office Sq
#F
Lynnfield, MA 01940
Phone (781) 599-0594

10 Post Office Sq
Ste F
Lynnfield, MA 01940

3 Post Office Sq
Ste F
Lynnfield, MA 01940
Phone (781) 599-0594

1 Roosevelt Ave
Ste 201
Peabody, MA 01960
Phone (978) 536-0215

Interoperability endpoints

  • Direct secure messaging: bgupta92417@direct.bilh.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1750497277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND AVE",
            "address_2": "NORTH SHORE HEALTH SYSTEMS",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "01970",
            "telephone_number": "978-354-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "POST OFFICE SQUARE LYNNFIELD MED BLDG",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "01940",
            "telephone_number": "781-599-0594",
            "fax_number": "781-581-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "BHAGWAN",
        "middle_name": "DASS",
        "credential": "MD FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "44639",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "44639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9738894",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnfield, MA

Sources for this page

Verify at the official NPI Registry.