Active NPI
Sanjay Gupta, M.D.
- Surgical Critical Care Physician
- Lewiston, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 249981
- Practice address
- 12 High St
Ste 401
Lewiston, ME 04240-7676 - Phone
- (207) 795-5767
- Fax
- (207) 795-2732
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | 017630 | ME | |
| Surgical Critical Care Physician | 2086S0102X | 249981 | MA | Primary |
Addresses
Primary practice location
12 High St
Ste 401
Lewiston, ME 04240-7676
Mailing address
12 High St
Ste 401
Lewiston, ME 04240-7676
Phone (207) 795-5767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
168 Kinsley St
Nashua, NH 03060-3634
Phone (603) 598-0455
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.65 of 100
- Quality
- 88.12
- Promoting interoperability
- 71
- Improvement activities
- 40
- Cost
- 77.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017630 | ME | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Coastal Medical Associates | Current | Accepting new patients | |
| Lahey Clinic, Inc. | Current | Accepting new patients | |
| St Joseph Hospital of Nashua NH | Current | Accepting new patients | |
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Sansa Med Spa LLC | Current | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
25 Marston St
Ste 301
Lawrence, MA 01841
Phone (978) 946-8230
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926
168 Kinsley St
Nashua, NH 03060
Phone (603) 578-9363
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1932175684
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
-
- Medical Specialty Clinic/Center
- Nashua, NH
- NPI 1992524672
-
- Urgent Care Clinic/Center
- Milford, NH
- NPI 1437758679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1801803523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 HIGH ST",
"address_2": "STE 401",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407676",
"telephone_number": "207-795-5767",
"fax_number": "207-795-2732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 HIGH ST",
"address_2": "STE 401",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407676",
"telephone_number": "207-795-5767",
"fax_number": "207-795-2732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "SANJAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "ME",
"license": "017630",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MA",
"license": "249981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.