Individual provider Active NPI

Jyotsna Gupta, MD

  • Internal Medicine Physician
  • Arlington, VA
National Provider Identifier
1770517062
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101037018 Issued in VA
Practice address
611 S Carlin Springs Rd Ste 504
Arlington, VA 22204-1088
Phone
(703) 998-6666
Fax
(703) 578-0700
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101037018 VA Primary

Addresses

Primary practice location

611 S Carlin Springs Rd Ste 504
Arlington, VA 22204-1088

Mailing address

611 S Carlin Springs Rd Ste 504
Arlington, VA 22204-1088
Phone (703) 998-6666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20090513000156 DC Practitioner - Internal Medicine 7416968391 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLean Medical Center and Urgent Care LLCGroup PAC ID 8325210818, 6 clinicians
Alexandria Health Care Center, PLLCGroup PAC ID 3072662527, 7 clinicians
Medical Associates of Northern VA IncGroup PAC ID 4587609029, 2 clinicians

Practice addresses (Care Compare)

1313 Dolley Madison Blvd
Suite 400
MC Lean, VA 22101-3926
Phone (703) 847-9800

5249 Duke St
Suite 100
Alexandria, VA 22304-2907
Phone (703) 658-2650

611 S Carlin Springs Rd
Suite 504
Arlington, VA 22204-1088
Phone (703) 998-6666

Merit-based Incentive Payment System (MIPS)

Final score
23.95 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Northern VA Inc CurrentSince Jan 1, 1985 Accepting new patients
Alexandria Health Care Center, PLLC Internal Medicine CurrentSince Jan 1, 2000 Accepting new patients
McLean Medical Center and Urgent Care LLC Internal Medicine CurrentSince Sep 1, 2011 Accepting new patients

Locations

6303 Little River Tpke
Ste 160
Alexandria, VA 22312
Phone (703) 476-0901

5249 Duke St
Ste 100
Alexandria, VA 22304
Phone (703) 370-2814

611 S Carlin Springs Rd
Ste 504
Arlington, VA 22204
Phone (703) 998-6666

8191 Strawberry Ln
Ste 4
Falls Church, VA 22042
Phone (703) 658-2600

1313 Dolley Madison Blvd
Ste 400
Mc Lean, VA 22101
Phone (703) 847-9800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770517062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S CARLIN SPRINGS RD STE 504",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041088",
            "telephone_number": "703-998-6666",
            "fax_number": "703-578-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CARLIN SPRINGS RD STE 504",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041088",
            "telephone_number": "703-998-6666",
            "fax_number": "703-578-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "JYOTSNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101037018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.