Individual provider Active NPI

Piyush Gupta, M.D.

  • Internal Medicine Physician
  • West Haven, CT
National Provider Identifier
1780945212
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
56806 Issued in CT
Practice address
764 Campbell Ave Ste E
West Haven, CT 06516-3786
Phone
(203) 931-0034
NPI assigned
May 31, 2012
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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 56806 CT Primary

Addresses

Primary practice location

764 Campbell Ave Ste E
West Haven, CT 06516-3786

Mailing address

764 Campbell Ave Ste E
West Haven, CT 06516-3786
Phone (203) 685-1653

Other practice location 1

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, CT, WA, MO5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20160127001624 CA Practitioner - Internal Medicine 6305063330
I20190404001080 AZ Practitioner - Internal Medicine 6305063330 Reassigns benefits to 1 organization
I20220308000796 CT Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Hospitalist 6305063330 Reassigns benefits to 3 organizations
I20240409003740 WA Practitioner - Internal Medicine 6305063330 Reassigns benefits to 1 organization
I20241029003662 MO Practitioner - Internal Medicine 6305063330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians
Sevi Cares CT PLLCGroup PAC ID 2668837188, 4 clinicians
Internal Medicine of West Haven LLCGroup PAC ID 3476567892, 5 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4741

764 Campbell Ave
Suite E
West Haven, CT 06516-3786
Phone (203) 931-0034

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Savoy Life Medical Group PC Internal Medicine CurrentSince Feb 28, 2024 Accepting new patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Nov 2, 2022 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Nov 2, 2022 Accepting new patients
Southern Arizona Internal Medicine PLLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Sevi Cares CT PLLC Internal Medicine CurrentSince Jan 3, 2023 Accepting new patients
Sevi Life LLC Family Medicine CurrentSince Oct 10, 2024 Accepting new patients
Carelon Medical Partners of Arizona, P.C. Family Medicine PastSince Jun 1, 2016 Accepting new patients

Locations

1 S Church Ave
Ste 1200
Tucson, AZ 85701
Phone (617) 225-4311

5210 E Farness Dr
Tucson, AZ 85712
Phone (520) 525-9433

440 N Barranca Ave
Covina, CA 91723
Phone (510) 210-5030

40 Dale Rd
Ste 202
Avon, CT 06001
Phone (203) 931-0034

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

20 York St
Unit CB2041
New Haven, CT 06510
Phone (203) 688-4741

470 James St
New Haven, CT 06513
Phone (203) 401-8919

470 James St
Ste 7
New Haven, CT 06513
Phone (203) 247-0072

20 York St
North Haven, CT 06510
Phone (203) 688-2433

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

764 Campbell Ave
West Haven, CT 06516
Phone (203) 901-0424

764 Campbell Ave
Ste E
West Haven, CT 06516
Phone (203) 931-0034

100 Viva Bene Cir
Saint Peters, MO 63376

300 Saint Peters Centre Blvd
Ste 250
Saint Peters, MO 63376
Phone (636) 245-5126

1511 3rd Ave
Ste 714
Seattle, WA 98101
Phone (509) 652-2516

12709 E Mirabeau Pkwy
Ste 300
Spokane Valley, WA 99216
Phone (208) 407-8555

12709 E Mirabeau Pkwy
Ste 3001
Spokane Valley, WA 99216
Phone (509) 402-2093

Interoperability endpoints

  • Direct secure messaging: piyush.gupta@xdr.hhchealthdirect.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1780945212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 CAMPBELL AVE STE E",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163786",
            "telephone_number": "203-685-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 CAMPBELL AVE STE E",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163786",
            "telephone_number": "203-931-0034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 York St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-688-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "PIYUSH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "56806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.