Active NPI
Dilip Gupta, MD
- Anatomic Pathology & Clinical Pathology Physician
- Sayre, PA
National Provider Identifier
1801957279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD061371
- Practice address
- 1 Guthrie SQ
Sayre, PA 18840-1625 - Phone
- (570) 887-4160
- Fax
- (570) 887-4193
- NPI assigned
- Dec 12, 2006
- Last updated
- Jul 21, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | MD061371L | PA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 0101238441 | VA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD061371 | PA | Primary |
| Cytotechnology Specialist/Technologist | 246QC2700X | D0063654 | MD |
Addresses
Primary practice location
1 Guthrie SQ
Sayre, PA 18840-1625
Mailing address
2101 E Jefferson St
Kaiser Permanente Medicare Enrollment
Rockville, MD 20852-4908
Phone (301) 816-2424
Other practice location 1
275 Guthrie Dr
Troy, PA 16947-8115
Phone (570) 297-2121
Other practice location 2
91 Hospital Dr
Towanda, PA 18848-9702
Phone (570) 265-2951
Other practice location 3
1 Guthrie Dr
Corning, NY 14830-3696
Phone (607) 973-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD061371L | PA | MD | Cytopathology Physician |
| MD061371 | PA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 0101238441 | VA | MD | Anatomic Pathology & Clinical Pathology Physician |
| D0063654 | MD | MD | Cytotechnology Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1801957279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 E JEFFERSON ST",
"address_2": "KAISER PERMANENTE MEDICARE ENROLLMENT",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524908",
"telephone_number": "301-816-2424",
"fax_number": "301-816-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUTHRIE SQ",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401625",
"telephone_number": "570-887-4160",
"fax_number": "570-887-4193"
}
],
"practiceLocations": [
{
"address_1": "275 Guthrie Dr",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "PA",
"postal_code": "169478115",
"country_code": "US",
"telephone_number": "570-297-2121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "91 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Towanda",
"state": "PA",
"postal_code": "188489702",
"country_code": "US",
"telephone_number": "570-265-2951",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Guthrie Dr",
"address_purpose": "LOCATION",
"city": "Corning",
"state": "NY",
"postal_code": "148303696",
"country_code": "US",
"telephone_number": "607-973-7200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "DILIP",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "PA",
"license": "MD061371L",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "VA",
"license": "0101238441",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "PA",
"license": "MD061371",
"primary": true
},
{
"code": "246QC2700X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Cytotechnology",
"state": "MD",
"license": "D0063654",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sayre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.