Ganesh G. Gupta, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

04-23261 Issued in KS

Practice address

5250 W 94TH Terrace
Pairie Village, KS 66207-2502

Phone

(913) 451-0000

Fax

(913) 491-0547

NPI assigned

Aug 9, 2005

Last updated

Apr 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 12, 2017 through Oct 12, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatric Orthopaedic Surgery Ass. of KC, PA

  • Pediatric Orthopaedic Surgery Physician
  • Pairie Village, KS
  • NPI 1316153331
  Authorized official Same address or phone
• Heartland Surgical Specialty Hospital, LLC

  dba Heartland Spine & Specialty Primary Care

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1174761191
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1801897111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 W 94TH TERRACE",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072502",
            "telephone_number": "913-451-0000",
            "fax_number": "913-491-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 W 94TH TERRACE",
            "city": "PAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072502",
            "telephone_number": "913-451-0000",
            "fax_number": "913-491-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "GANESH",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "04-23261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra L. Gupta, MD
• Pediatric Orthopaedic Surgery Ass. of KC, PA

• Orthopaedic Surgery Physician in Pairie Village, KS
• Providers in Pairie Village, KS by specialty
• Orthopaedic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.