Individual provider Active NPI

Niraj Gupta, MD

  • Hematology & Oncology Physician
  • Carmel, IN
National Provider Identifier
1790717510
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
01062714A Issued in IN
Practice address
12188B N Meridian St Ste 260
Carmel, IN 46032-4840
Phone
(765) 775-2800
Fax
(765) 471-5461
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD 23423 OR
Hematology & Oncology Physician 207RH0003X 01062714A IN Primary
Internal Medicine Physician 207R00000X 01062714A IN

Addresses

Primary practice location

12188B N Meridian St Ste 260
Carmel, IN 46032-4840

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

6820 Parkdale Pl
Suite 200
Indianapolis, IN 46254-6601
Phone (317) 329-7430

Other practice location 2

1706 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone (765) 775-2800

Other identifiers 1

IdentifierTypeStateIssuer
200835670MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ngupta613917@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070330000374 IN Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0840394805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

1706 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone (765) 775-2800

Hospital & facility affiliations

  • Franciscan Health Lafayette Hospital, Lafayette, IN, CCN 150109
  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162
  • Franciscan Health Crawfordsville Hospital, Crawfordsville, IN, CCN 150022
  • Witham Health Services Hospital, Lebanon, IN, CCN 150104
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 23423ORMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network Internal Medicine CurrentSince Dec 18, 2021 Accepting new patients
Franciscan Physician Network CurrentSince Dec 18, 2021 Accepting new patients
Major Hospital Past Accepting new patients

Locations

12188B N Meridian St
Ste 260
Carmel, IN 46032
Phone (317) 660-2173

1706 Lafayette Rd
Crawfordsville, IN 47933
Phone (765) 361-3000

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1701 S Creasy Ln
Ste 1W93
Lafayette, IN 47905
Phone (765) 502-4015

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1790717510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12188B N MERIDIAN ST STE 260",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324840",
            "telephone_number": "765-775-2800",
            "fax_number": "765-471-5461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6820 Parkdale Pl",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462546601",
            "country_code": "US",
            "telephone_number": "317-329-7430",
            "fax_number": "317-329-7485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1706 Lafayette Rd",
            "address_purpose": "LOCATION",
            "city": "Crawfordsville",
            "state": "IN",
            "postal_code": "479331033",
            "country_code": "US",
            "telephone_number": "765-775-2800",
            "fax_number": "765-471-5461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "NIRAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OR",
            "license": "MD 23423",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01062714A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01062714A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200835670",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngupta613917@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1706 Lafayette Rd",
            "city": "Crawfordsville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479331033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.