Active NPI
Saurabh Gupta
- Vascular Surgery Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- D0097536
- Practice address
- 22 S Greene St # S10B00
Baltimore, MD 21201-1544 - Phone
- (667) 214-1734
- Fax
- (410) 328-0717
- NPI assigned
- Jun 30, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 390200000 | MD | |
| Vascular Surgery Physician | 2086S0129X | D0097536 | MD | Primary |
Addresses
Primary practice location
22 S Greene St # S10B00
Baltimore, MD 21201-1544
Mailing address
PO Box 64226
Baltimore, MD 21264-4226
Phone (667) 214-1734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
419 W Redwood St
FL 3
Baltimore, MD 21201-1734
Phone (410) 328-5300
901 N Harry S Truman Dr
2ND Floor Obs Unit
Largo, MD 20774-5477
Phone (667) 214-1718
9300 Lottsford Rd
Suite 300
Largo, MD 20774-4886
Phone (240) 719-7648
9333 Healthcare Way
Suite a 3 a 100
Upper Marlboro, MD 20774-5484
Phone (240) 677-3000
Hospital & facility affiliations
- University of MD Capital Region Medical Center
- University of Maryland Medical Center
- University of MD Medical Center Midtown Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 40 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390200000 | MD | MD | Dentist |
| D0097536 | MD | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Surgical Associates, PA | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Shock Trauma Associates, P.a. | Past | Accepting new patients | |
| University of Maryland Surgcial Assoc PA | Past | Accepting new patients | |
| University of Maryland Medical Center, LLC | Past | Accepting new patients |
Locations
22 S Greene St
#S10B0
Baltimore, MD 21201
Phone (410) 328-5840
419 W Redwood St
Ste 300
Baltimore, MD 21201
Phone (410) 328-5300
419 W Redwood St
Ste 240
Baltimore, MD 21201
Phone (410) 328-1064
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
22 S Greene St
#10B0
Baltimore, MD 21201
419 W Redwood St
Fl 3
Baltimore, MD 21201
Phone (410) 328-5300
3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000
7400 Van Dusen Rd
Laurel, MD 20707
Phone (240) 494-6882
Interoperability endpoints
- sgupta531268@direct.umm.edu
- sgupta731595@direct.hfhs.org
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Emergency Care Clinic/Center
- Baltimore, MD
- NPI 1679512909
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
-
- Ambulatory Surgical Clinic/Center
- Baltimore, MD
- NPI 1083624225
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Upper Marlboro, MD
- NPI 1720099286
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1669565180
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1770934788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64226",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644226",
"telephone_number": "667-214-1734",
"fax_number": "410-706-6976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST # S10B00",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "667-214-1734",
"fax_number": "410-328-0717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "SAURABH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-30",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "390200000",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MD",
"license": "D0097536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.