Sushilkumar Satish Gupta, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

25MA11662000 Issued in NJ

Practice address

201 Dates Dr Ste 310
Ithaca, NY 14850-1345

Phone

(267) 368-1169

NPI assigned

Jul 23, 2014

Last updated

Jun 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ, MN, WA, WI, OH, AZ, IA8 enrollments

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 8

Specialty

Pulmonary Disease

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Froedtert Manitowoc Medical Group, LLCGroup PAC ID 2365836954, 156 clinicians

Lakewood Health SystemGroup PAC ID 1052229671, shared by 15 NPIs, 107 clinicians

Nuvoair Medical PCGroup PAC ID 1557742368, shared by 6 NPIs, 17 clinicians

St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians

Pomerene HospitalGroup PAC ID 5496856270, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tri-State Memorial Hospital Hospital, Clarkston, WA, CCN 501332
• St Joseph's University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
• Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
• Gritman Medical Center Hospital, Moscow, ID, CCN 131327

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27550/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052317
• Direct secure messaging: sgupta710206@direct.ochin.org
• Direct secure messaging: sgupta861546@direct.froedtert.com
• Direct secure messaging: sushilkumar.satish.gupta.1@27550.direct.athenahealth.com

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.

• Froedtert Manitowoc Medical Group, LLC

  dba Froedtert Northeast Medical Group

  • Multi-Specialty Clinic/Center
  • Manitowoc, WI
  • NPI 1437829975

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Pomerene Hospital

  • Critical Access Hospital
  • Millersburg, OH
  • NPI 1770957185
  Medicare reassignment Care Compare group NPD
• St Josephs Medical Group PC

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1205425519
  Medicare reassignment Care Compare group NPD
• Maimonides Medical Center Maimonides Primary Care FPP

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1013968593
  Medicare reassignment NPD
• Nuvoair Medical PC

  • Pulmonary Disease Physician
  • Rochester, NY
  • NPI 1255018263
  Medicare reassignment NPD
• Schuyler Hospital Inc

  • Internal Medicine Physician
  • Montour Falls, NY
  • NPI 1760582142
  Medicare reassignment NPD
• Barnabas Health Medical Group PC

  • Specialist
  • Elizabeth, NJ
  • NPI 1841557246

  Internal Medicine

  Medicare reassignment NPD
• Ellsworth Municipal Hospital

  dba Hansen Family Hospital

  • Critical Access Hospital
  • Iowa Falls, IA
  • NPI 1831296052
  Medicare reassignment NPD
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Internal Medicine Physician
  • Menomonee Falls, WI
  • NPI 1568787448
  Medicare reassignment NPD
• Lakewood Health System

  dba Lakewood Clinic Staples

  • Rural Health Clinic/Center
  • Staples, MN
  • NPI 1841280823
  Medicare reassignment NPD
• Nuvoair Medical PC

  dba NuvoAir Medical

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1417688680

  AZ

  Medicare reassignment NPD
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527

  NJ

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gritman Medical Center Inc

  • Critical Access Hospital
  • Moscow, ID
  • NPI 1619988144
  Care Compare affiliation
• Gritman Medical Center Inc.

  dba Gritman Internal Medicine Clinic

  • Clinic/Center
  • Moscow, ID
  • NPI 1790182590

  Hospital

  Care Compare affiliation
• St Josephs University Medical Center Inc.

  • General Acute Care Hospital
  • Paterson, NJ
  • NPI 1669462420
  Care Compare affiliation
• Tri-State Memorial Hospital

  • Critical Access Hospital
  • Clarkston, WA
  • NPI 1760485221
  Care Compare affiliation
• Tri-State Memorial Hospital

  dba Tri State Medical Clinics

  • Family Medicine Physician
  • Clarkston, WA
  • NPI 1932405693

  Hospital

  Care Compare affiliation
• Yavapai Community Hospital Association

  dba Yavapai Regional Medical Center

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1750799722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DATES DR STE 310",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501345",
            "telephone_number": "267-368-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DATES DR STE 310",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501345",
            "telephone_number": "267-368-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SUSHILKUMAR SATISH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-23",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "300838",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "300838",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "303838",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA11662000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Beth Gulde
• Stephanie Gumaer, LCSW
• Estela Gumina, FNP-C
• Jennifer Hill Gunn, MD
• Loveena Gupta, DDS
• Wayne Eric Gustafson, D.MIN.
• Theresa Gustaveson, LMSW
• Guthrie Clinic LTD (Guthrie Medical Group)
• Guthrie Clinic LTD.
• Guthrie Medical Group PC

• Pulmonary Disease Physician in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.

Verify at the official NPI Registry.