Organization Active NPI

Urology Medical Specialists, PA

  • Durable Medical Equipment & Medical Supplies
  • Deerfield Beach, FL
National Provider Identifier
1790569994
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
UROLOGY MEDICAL SPECIALISTS, PA
Practice address
601 E Sample Rd Ste 105
Deerfield Beach, FL 33064-4443
Phone
(954) 943-1133
Fax
(954) 783-6845
NPI assigned
Aug 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Sanjeev Kumar Gupta, MD
Title
MD/Owner
Phone
(954) 943-1133

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

601 E Sample Rd Ste 105
Deerfield Beach, FL 33064-4443

Mailing address

5258 Linton Blvd Ste 203
Delray Beach, FL 33484-6529
Phone (561) 495-7570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240306000719 FL DME Supplier - Physician - Urology 2466604616 Practice locations: Deerfield Beach, FL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1790569994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5258 LINTON BLVD STE 203",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846529",
            "telephone_number": "561-495-7570",
            "fax_number": "561-496-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAMPLE RD STE 105",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330644443",
            "telephone_number": "954-943-1133",
            "fax_number": "954-783-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY MEDICAL SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "954-943-1133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.