NPIMap

Individual provider Active NPI

Sanjeev Gupta, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1831274315
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
174208 Issued in NY
Practice address
1515 Blondell Ave
Suite 220
Bronx, NY 10461-2601
Phone
(866) 633-8255
Fax
(718) 430-8975
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 174208 NY Primary
Gastroenterology Physician 207RG0100X 17428 NY

Addresses

Primary practice location

1515 Blondell Ave
Suite 220
Bronx, NY 10461-2601

Mailing address

1515 Blondell Ave
Suite 220
Bronx, NY 10461-2601
Phone (866) 633-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071023000394 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 4981790805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1976
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Calvary Hospital IncGroup PAC ID 9133010382, 50 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

1740 Eastchester Rd
Bronx, NY 10461-2300
Phone (718) 518-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17428NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calvary Hospital Inc CurrentSince Jan 1, 1990 Accepting new patients
Calvary Hospital Inc CurrentSince Jan 1, 1990 Accepting new patients
Montefiore Medical Center CurrentSince Jan 1, 2006 Accepting new patients
Montefiore Medical Center Internal Medicine CurrentSince Jan 1, 2006 Accepting new patients

Locations

1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444

1575 Blondell Ave
Ste 200
Bronx, NY 10461
Phone (718) 405-8260

1515 Blondell Ave
Ste 220
Bronx, NY 10461
Phone (718) 405-8140

111 E 210th St
#6
Bronx, NY 10467
Phone (718) 920-3822

111 E 210th St
Bronx, NY 10467

1740 Eastchester Rd
Bronx, NY 10461
Phone (718) 518-2000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: sagupta@montefioredirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1831274315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 BLONDELL AVE",
            "address_2": "SUITE 220",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612601",
            "telephone_number": "866-633-8255",
            "fax_number": "718-430-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BLONDELL AVE",
            "address_2": "SUITE 220",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612601",
            "telephone_number": "866-633-8255",
            "fax_number": "718-430-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SANJEEV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "174208",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "17428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.