Individual provider Active NPI

Opal Kamdar Gupta, MD

  • Allergy & Immunology Physician
  • San Francisco, CA
National Provider Identifier
1760724371
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A154818 Issued in CA
Practice address
450 Sutter St RM 933
San Francisco, CA 94108
Phone
(415) 362-5443
Fax
(415) 362-5444
NPI assigned
Mar 21, 2013
Last updated
Jun 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X A154818 CA Primary
Pediatrics Physician 208000000X 036140728 IL

Addresses

Primary practice location

450 Sutter St RM 933
San Francisco, CA 94108

Mailing address

450 Sutter St RM 933
San Francisco, CA 94108-3997
Phone (415) 362-5443

Other names 1

  • Dr. Opal Kamdar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190104002860 CA Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 6406147222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of California - UCSFGroup PAC ID 3375822471, 78 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.82 of 100Reported as group
Quality
90.46
Promoting interoperability
76
Improvement activities
40
Cost
75.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154818CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California - UCSF CurrentSince Sep 25, 2018 Accepting new patients
SH Medical Group Allergy & Immunology CurrentSince Nov 14, 2018 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
University of California San Francisco Allergy & Immunology Past Accepting new patients

Locations

2100 Webster St
Ste 202
San Francisco, CA 94115
Phone (415) 749-5779

45 Castro St
Ste 325
San Francisco, CA 94114
Phone (415) 863-3366

450 Sutter St
Rm 933
San Francisco, CA 94108

450 Sutter St
Ste 1139
San Francisco, CA 94108
Phone (415) 362-2614

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Interoperability endpoints

  • Direct secure messaging: ogupta53390@direct-ucsfmedicalcenter.org

Organizations & group practices 4

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 2

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": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1760724371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 933",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941083997",
            "telephone_number": "415-362-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 933",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94108",
            "telephone_number": "415-362-5443",
            "fax_number": "415-362-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "OPAL",
        "middle_name": "KAMDAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A154818",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036140728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OPAL",
            "last_name": "KAMDAR",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.