Individual provider Active NPI

Deepa Gupta, MD

  • Internal Medicine Physician
  • Taylorsville, UT
National Provider Identifier
1790708550
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
851728921205 Issued in UT
Practice address
3845 W 4700 S
Taylorsville, UT 84118-3454
Phone
(801) 840-2020
NPI assigned
Jul 25, 2006
Last updated
Oct 18, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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 851728921205 UT Primary

Addresses

Primary practice location

3845 W 4700 S
Taylorsville, UT 84118-3454

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 840-2020

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20050525001041 UT Practitioner - Internal Medicine 5395787782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

181 E Medical Tower Dr
Murray, UT 84107-4872
Phone (801) 314-7750

2000 S 900
Salt Lake City, UT 84105-3208
Phone (801) 464-7788

3845 W 4700
Taylorsville, UT 84129-3454
Phone (801) 840-8444

5373 W Lake Park Blvd
West Valley City, UT 84120-8208
Phone (801) 902-8080

6272 S Highland Dr
Murray, UT 84121-2126
Phone (801) 871-6300

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
851728921205UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Nov 1, 2001 Accepting new patients
Ihc Health Services Inc CurrentSince Nov 1, 2001 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

6272 S Highland Dr
Murray, UT 84121
Phone (801) 871-6000

280 N Main St
N Salt Lake, UT 84010
Phone (801) 270-4400

1975 N State St
Orem, UT 84057
Phone (801) 714-5000

324 Tenth Ave
Ste 285
Salt Lake Cty, UT 84103
Phone (801) 321-2888

9493 S 700 E
Sandy, UT 84070
Phone (801) 270-4400

2000 S 900 E
Slc, UT 84105
Phone (801) 446-7786

3934 S 2300 E
Slc, UT 84124
Phone (801) 270-4400

385 S 400 E
Springville, UT 84663
Phone (801) 429-1200

2655 W 9000 S
West Jordan, UT 84088
Phone (801) 256-6343

3845 W 4700 S
West Valley City, UT 84129
Phone (801) 840-2020

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1790708550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-840-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 W 4700 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841183454",
            "telephone_number": "801-840-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "DEEPA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "851728921205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

Verify at the official NPI Registry.