Individual provider Active NPI

Meenu Gupta

  • Family Medicine Physician
  • Sunrise, FL
National Provider Identifier
1831155522
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0049015 Issued in FL
Practice address
8396 W Oakland PK Blvd
Sunrise, FL 33351-7372
Phone
(954) 742-0112
Fax
(954) 746-8202
NPI assigned
Apr 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0049015 FL Primary

Addresses

Primary practice location

8396 W Oakland PK Blvd
Sunrise, FL 33351-7372

Mailing address

8396 W Oakland PK Blvd
Sunrise, FL 33351-7372
Phone (954) 742-0112

Other practice location 1

4216 S University Dr
Davie, FL 33328-3007
Phone (954) 742-0112

Other identifiers 1

IdentifierTypeStateIssuer
044716101MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100311000688 FL Practitioner - Family Practice 1658406954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mohan L Gupta MD PAGroup PAC ID 0648299925, 3 clinicians

Practice addresses (Care Compare)

8384 W Oakland Park Blvd
Sunrise, FL 33351-7372
Phone (954) 742-0112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mohan L Gupta MD PA CurrentSince Jan 1, 1995 Accepting new patients

Locations

4216 S University Dr
Davie, FL 33328
Phone (954) 331-0104

8396 W Oakland Park Blvd
Sunrise, FL 33351
Phone (954) 742-0112

8384 W Oakland Park Blvd
Sunrise, FL 33351
Phone (954) 742-0112

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1831155522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8396 W OAKLAND PK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517372",
            "telephone_number": "954-742-0112",
            "fax_number": "954-746-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8396 W OAKLAND PK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517372",
            "telephone_number": "954-742-0112",
            "fax_number": "954-746-8202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4216 S University Dr",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333283007",
            "country_code": "US",
            "telephone_number": "954-742-0112",
            "fax_number": "954-746-8202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "MEENU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-22",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0049015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044716101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.