Individual provider Active NPI

Frederick B Gaupp, MD

  • Emergency Medicine Physician
  • Gulfport, MS
National Provider Identifier
1790731222
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
016195 Issued in LA
Practice address
10556 Highway 49
Gulfport, MS 39503-4109
Phone
(228) 539-2399
Fax
(228) 539-2377
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 016195 LA Primary
Emergency Medicine Physician 207P00000X 09750 MS
Emergency Medicine Physician 207P00000X MD.27709 AL

Addresses

Primary practice location

10556 Highway 49
Gulfport, MS 39503-4109

Mailing address

10556 Highway 49
Gulfport, MS 39503-4109
Phone (228) 539-2399

Other identifiers 4

IdentifierTypeStateIssuer
009942867MedicaidAL
1338940MedicaidLA
051538562OtherALBCBS
7943900OtherALAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.27709ALMDEmergency Medicine Physician
016195LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfport 49 Imaging, LLC PastSince May 9, 2021 Accepting new patients
Our Lady of the Lake Hospital Inc Emergency Medicine Past Accepting new patients
Van Meter MD & Associates Past Accepting new patients
Keith Van Meter & Associates Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1790731222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10556 HIGHWAY 49",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034109",
            "telephone_number": "228-539-2399",
            "fax_number": "228-539-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10556 HIGHWAY 49",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034109",
            "telephone_number": "228-539-2399",
            "fax_number": "228-539-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUPP",
        "first_name": "FREDERICK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "016195",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "09750",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.27709",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009942867",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1338940",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051538562",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7943900",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.