Active NPI
Anu Gupta, M.D.
- Specialist
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101053278
- Practice address
- 808 W Diamond Ave
Gaithersburg, MD 20878-1413 - Phone
- (240) 364-0900
- Fax
- (240) 364-0838
- NPI assigned
- Jun 15, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101053278 | VA | Primary |
Addresses
Primary practice location
808 W Diamond Ave
Gaithersburg, MD 20878-1413
Mailing address
808 W Diamond Ave
Gaithersburg, MD 20878-1413
Phone (240) 364-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010068029 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101053278 | VA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Oncology Hematology P.a. | Current | Accepting new patients | |
| Maryland Oncology Hematology P.a. | Current | Accepting new patients | |
| Maryland Oncology Hematology, P.a. | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Past | Accepting new patients | |
| Virginia Cancer Specialists, P.C. | Past | Accepting new patients |
Locations
11720 Beltsville Dr
Ste 300
Beltsville, MD 20705
7350 Van Dusen Rd
Ste 370
Laurel, MD 20707
Phone (301) 982-9800
9905 Medical Center Dr
Ste 100
Rockville, MD 20850
Phone (240) 826-6297
11886 Healing Way
Ste 101
Silver Spring, MD 20904
Phone (240) 471-3800
Organizations & group practices 5
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.
-
- Non-Pharmacy Dispensing Site
- Silver Spring, MD
- NPI 1336693431
-
- Hematology & Oncology Physician
- Columbia, MD
- NPI 1396710703
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
-
- Community/Retail Pharmacy
- Fairfax, VA
- NPI 1053847293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1790780963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 W DIAMOND AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208781413",
"telephone_number": "240-364-0900",
"fax_number": "240-364-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 W DIAMOND AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208781413",
"telephone_number": "240-364-0900",
"fax_number": "240-364-0838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "ANU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-15",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101053278",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010068029",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.