NPIMap

Individual provider Active NPI

Bhavdeep K Gupta, MD, FACC

  • Cardiovascular Disease Physician
  • Suffolk, VA
National Provider Identifier
1790735181
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101051058 Issued in VA
Practice address
1030 Hillpoint Blvd N
Suffolk, VA 23434-8470
Phone
(757) 539-0444
Fax
(757) 539-4824
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101051058 VA
Cardiovascular Disease Physician 207RC0000X 0101051058 VA Primary
Nuclear Cardiology Physician 207UN0901X 0101051058 VA

Addresses

Primary practice location

1030 Hillpoint Blvd N
Suffolk, VA 23434-8470

Mailing address

7007 Harbour View Blvd
Suite 108
Suffolk, VA 23435-3657
Phone (757) 215-2784

Other identifiers 1

IdentifierTypeStateIssuer
006011977MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110307000545 VA Practitioner - Internal MedicinePractitioner - Other (Physician)Practitioner - Nuclear MedicinePractitioner - Cardiovascular Disease (Cardiology) 6800078213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology), Nuclear Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians

Practice addresses (Care Compare)

1030 Hillpoint Blvd N
Suffolk, VA 23434-8470
Phone (757) 539-0444

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

301 Goode Way
Suite 102
Portsmouth, VA 23704-2266
Phone (757) 399-2639

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222

Hospital & facility affiliations

  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017
  • Bon Secours Harbour View Medical Center Hospital, Suffolk, VA, CCN 490148
  • Bon Secours Southampton Memorial Hospital Hospital, Franklin, VA, CCN 490092
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Cardiovascular Disease CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Cardiology Associates, P.C. Cardiovascular Disease PastSince Jul 1, 1994 Accepting new patients

Locations

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

3640 High St
Ste 1E
Portsmouth, VA 23707
Phone (757) 398-2200

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

1030 Hillpoint Blvd N
Suffolk, VA 23434
Phone (757) 539-0444

5838 Harbour View Blvd
Ste 270
Suffolk, VA 23435
Phone (757) 541-1050

7007 Harbour View Blvd
Ste 108
Suffolk, VA 23435
Phone (757) 215-2784

Interoperability endpoints

  • Direct secure messaging: bgupta1151680@direct.bsmhealth.org

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1790735181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 HARBOUR VIEW BLVD",
            "address_2": "SUITE 108",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353657",
            "telephone_number": "757-215-2784",
            "fax_number": "757-215-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 HILLPOINT BLVD N",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348470",
            "telephone_number": "757-539-0444",
            "fax_number": "757-539-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "BHAVDEEP",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD, FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101051058",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101051058",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "VA",
            "license": "0101051058",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006011977",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.