Madhu V Gupta

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301064002 Issued in MI

Practice address

2200 Monroe St
Dearborn, MI 48124-3058

Phone

(313) 565-8700

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Family Practice

Education

Tufts University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mgupta785009@direct.hfhs.org
• FHIR API: https://fhir4.healow.com/fhir/r4/HBDCCD/Endpoint/HBDCCD

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.

• Ananda Medical Clinic and Healing Center PLC

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1225061419

  MI

  Medicare reassignment Authorized official
• Older Adult Home Care Services, Inc.

  • Home Health Agency
  • Taylor, MI
  • NPI 1952334187
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1770528705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44548 SPRING HILL RD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684367",
            "telephone_number": "313-565-8700",
            "fax_number": "313-565-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243058",
            "telephone_number": "313-565-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Monroe St",
            "address_2": "Suite 306",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242926",
            "country_code": "US",
            "telephone_number": "313-565-8700",
            "fax_number": "313-565-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "MADHU",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301064002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulley Medical Equipment
• Luxhman Gunaseelan, MD
• Antima Gupta, DPT, CLT
• Ashok K. Gupta, M.D.
• Daman Toor Gupta, O.D.
• Rajesh Gupta, MD
• Ruby Gupta
• Gusfa Dental Clinic, P.C.
• James Walter Gusfa, D.,D.S.
• Steven James Gusfa, D.D.S.

• All providers in Dearborn, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.