Individual provider Active NPI

Vidhu B Gupta, MA

  • Neurology Physician
  • Blue Bell, PA
National Provider Identifier
1760423792
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD067982L Issued in PA
Practice address
721 Arbor Way
Suite 101
Blue Bell, PA 19422-1917
Phone
(610) 279-7443
Fax
(610) 279-3784
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD067982L PA Primary

Addresses

Primary practice location

721 Arbor Way
Suite 101
Blue Bell, PA 19422-1917

Mailing address

721 Arbor Way
Suite 101
Blue Bell, PA 19422-1917
Phone (610) 279-7443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20061121000190 PA Practitioner - Neurology 5698773976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, shared by 44 NPIs, 442 clinicians

Practice addresses (Care Compare)

1811 Bethlehem Pike
Suite A104
Flourtown, PA 19031-1111
Phone (215) 836-3462

Hospital & facility affiliations

  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Jefferson Lansdale Hospital Hospital, Lansdale, PA, CCN 390012
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
  • Temple Health - Chestnut Hill Hospital Hospital, Philadelphia, PA, CCN 390026
  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amh Medical Staff Service Fund CurrentSince Dec 5, 2009 Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

2510 Maryland Rd
Ste 200
Willow Grove, PA 19090

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

Organizations & group practices 2

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 5

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1760423792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 ARBOR WAY",
            "address_2": "SUITE 101",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221917",
            "telephone_number": "610-279-7443",
            "fax_number": "610-279-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 ARBOR WAY",
            "address_2": "SUITE 101",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221917",
            "telephone_number": "610-279-7443",
            "fax_number": "610-279-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "VIDHU",
        "middle_name": "B",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD067982L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.