NPIMap

Individual provider Active NPI

Atul Gupta, M.D.

  • Infectious Disease Physician
  • Independence, MO
National Provider Identifier
1790826063
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
1167130559 Issued in MO
Practice address
19550 E 39TH St S
Suite 400
Independence, MO 64057-2358
Phone
(816) 254-2552
Fax
(816) 833-0398
NPI assigned
Feb 9, 2007
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 0432352 KS
Infectious Disease Physician 207RI0200X 60 243812 NY
Infectious Disease Physician 207RI0200X 1167130559 MO Primary

Addresses

Primary practice location

19550 E 39TH St S
Suite 400
Independence, MO 64057-2358

Mailing address

19550 E 39TH St S
Suite 400
Independence, MO 64057-2358
Phone (816) 254-2552

Other identifiers 2

IdentifierTypeStateIssuer
200572970AMedicaidKS
1790826063MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ATUL.GUPTA@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081010000069 MO Practitioner - Infectious DiseasePractitioner - Internal Medicine 0648348193 Reassigns benefits to 2 organizations
I20221025002768 KS Practitioner - Infectious Disease 0648348193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

205 NW R D Mize Rd
Suite 105
Blue Springs, MO 64014-2519
Phone (913) 274-1573

8800 State Line Rd
Leawood, KS 66206-1553
Phone (913) 383-9099

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.91 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
66.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0432352KSMDInfectious Disease Physician
1167130559MOMDInfectious Disease Physician
60 243812NYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Idkc LLC Infectious Disease CurrentSince Feb 22, 2022 Accepting new patients

Locations

8800 State Line Rd
Leawood, KS 66206
Phone (913) 383-9099

205 NW R D Mize Rd
Ste 105
Blue Springs, MO 64014

Interoperability endpoints

  • Direct secure messaging: atul.gupta@hca2.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1790826063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S",
            "address_2": "SUITE 400",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572358",
            "telephone_number": "816-254-2552",
            "fax_number": "816-833-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S",
            "address_2": "SUITE 400",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572358",
            "telephone_number": "816-254-2552",
            "fax_number": "816-833-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ATUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KS",
            "license": "0432352",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "60 243812",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "1167130559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200572970A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790826063",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ATUL.GUPTA@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "19550 E 39th St S",
            "address_2": "SUITE 400",
            "city": "Independence",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640572358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.