Active NPI
B Rai Gupta MD PA
- Specialist
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- B RAI GUPTA MD PA
- Doing business as
- Fl Center for Plastic & Hand Surgery
- Practice address
- 3300 W Lake Mary Blvd
Suite 220
Lake Mary, FL 32746-3570 - Phone
- (407) 321-7111
- Fax
- (407) 321-7446
- NPI assigned
- Mar 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Susan L Holland, BSN
- Title
- Business Account Manager
- Phone
- (407) 321-7111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | FL | Primary |
Addresses
Primary practice location
3300 W Lake Mary Blvd
Suite 220
Lake Mary, FL 32746-3570
Mailing address
3300 W Lake Mary Blvd
Suite 220
Lake Mary, FL 32746-3570
Phone (407) 321-7111
Other names 1
- Fl Center for Plastic & Hand Surgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- B Rai Gupta MD PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Plastic Surgery Physician
- Lake Mary, FL
- NPI 1548349434
Locations
3300 W Lake Mary Blvd
Ste 220
Lake Mary, FL 32746
Phone (407) 321-4567
1400 S Orange Ave
Orlando, FL 32806
Phone (321) 841-1893
1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Lake Mary, FL
- NPI 1497859748
-
- Psychiatry Physician
- Louisville, KY
- NPI 1548274772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363219200000",
"number": "1821339755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 W LAKE MARY BLVD",
"address_2": "SUITE 220",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463570",
"telephone_number": "407-321-7111",
"fax_number": "407-321-7446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 W LAKE MARY BLVD",
"address_2": "SUITE 220",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463570",
"telephone_number": "407-321-7111",
"fax_number": "407-321-7446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B RAI GUPTA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-01",
"last_updated": "2013-03-14",
"status": "A",
"authorized_official_last_name": "HOLLAND",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BUSINESS ACCOUNT MANAGER",
"authorized_official_telephone_number": "407-321-7111",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BSN"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fl Center for Plastic & Hand Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.