Active NPI
Urology Medical Specialists, PA
- Durable Medical Equipment & Medical Supplies
- Deerfield Beach, FL
National Provider Identifier
1790569994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Durable Medical Equipment & Medical Supplies
- Delray Beach, FL
- NPI 1649054842
2466604616
National Provider Directory
National Provider DirectoryNPI 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.