NPIMap

Individual provider Active NPI

Prag Gupta, MD

  • Pulmonary Disease Physician
  • Denver, NC
National Provider Identifier
1801879911
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
200401220 Issued in NC
Practice address
1585 Forney Creek Pkwy Ste 2200
Denver, NC 28037-9522
Phone
(704) 951-8444
Fax
(704) 360-9978
NPI assigned
Nov 22, 2005
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 200401220 NC
Pulmonary Disease Physician 207RP1001X 200401220 NC Primary

Addresses

Primary practice location

1585 Forney Creek Pkwy Ste 2200
Denver, NC 28037-9522

Mailing address

PO Box 3246
Mooresville, NC 28117-3246
Phone (704) 951-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20091117000554 NC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1456311380 Reassigns benefits to 3 organizations
I20170926001150 SC Practitioner - Critical Care (Intensivists) 1456311380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

124 Glenwood Dr
Rock Hill, SC 29732-1817
Phone (704) 951-8444

653 Bluefield Rd
Suite H
Mooresville, NC 28117-9599
Phone (704) 951-8444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200401220NCMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Apr 16, 2012 Accepting new patients
Cornerstone Health Care PA CurrentSince Apr 16, 2012 Accepting new patients
Moses Cone Medical Services, Inc. Pulmonary Disease CurrentSince Apr 12, 2018 Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 1, 2017 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Apr 12, 2018 Accepting new patients
Tri-County Pulmonary and Critical Care PLLC Pulmonary Disease CurrentSince Feb 15, 2017 Accepting new patients
Carolina Pulmonary Physicians, PA Pulmonary Disease CurrentSince Oct 9, 2020 Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients
WRMC Hospital Operating Corporation Past Accepting new patients

Locations

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

1585 Forney Creek Pkwy
Ste 2200
Denver, NC 28037
Phone (704) 951-8444

268 Gillman Rd
Ste 100
Denver, NC 28037
Phone (704) 951-8444

2310 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 847-6611

624 Quaker Ln
Ste 100D
High Point, NC 27262
Phone (336) 802-2090

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

653 Bluefield Rd
Ste H
Mooresville, NC 28117
Phone (336) 306-9755

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

124 Glenwood Dr
Rock Hill, SC 29732
Phone (803) 324-5280

Interoperability endpoints

  • Direct secure messaging: pgupta537289@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 10

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 9

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1801879911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3246",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281173246",
            "telephone_number": "704-951-8444",
            "fax_number": "704-360-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 FORNEY CREEK PKWY STE 2200",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280379522",
            "telephone_number": "704-951-8444",
            "fax_number": "704-360-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "PRAG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "200401220",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "200401220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

Verify at the official NPI Registry.