Individual provider Active NPI

Dilip Gupta, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Sayre, PA
National Provider Identifier
1801957279
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD061371 Issued in PA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MD061371LPAMDCytopathology Physician
MD061371PAMDAnatomic Pathology & Clinical Pathology Physician
0101238441VAMDAnatomic Pathology & Clinical Pathology Physician
D0063654MDMDCytotechnology 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.

Verify at the official NPI Registry.