NPIMap

Individual provider Active NPI

Puneet K Gupta, D.O.

  • Family Medicine Physician
  • York, PA
National Provider Identifier
1871572644
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS010558L Issued in PA
Practice address
2295 N Susquehanna TRL Ste a
York, PA 17404-8495
Phone
(717) 812-0731
Fax
(717) 812-9848
NPI assigned
Jan 11, 2006
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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 OS010558L PA Primary

Addresses

Primary practice location

2295 N Susquehanna TRL Ste a
York, PA 17404-8495

Mailing address

2295 N Susquehanna TRL Ste a
York, PA 17404-8495
Phone (717) 812-0731

Other practice location 1

285 N Main St
Spring Grove, PA 17362-1134
Phone (717) 225-3610

Other identifiers 1

IdentifierTypeStateIssuer
0018599550001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pgupta62215@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101018000479 PA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 7113057027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2295 N Susquehanna TR
Suite a
York, PA 17404-8495
Phone (717) 812-0731

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Jul 1, 2017 Accepting new patients
Memorial Enterprises, Inc. Past Accepting new patients
Memorial Enterprises Inc Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Pinnacle Health Medical Services Family Medicine PastSince Jul 1, 2012 Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

233 College Ave
Ste 201
Lancaster, PA 17603
Phone (717) 291-6752

55 Old Farm Ln
Shrewsbury, PA 17361
Phone (717) 235-4893

1232 Greensprings Dr
York, PA 17402
Phone (717) 207-4800

2295 N Susquehanna Trl
#A
York, PA 17404
Phone (717) 812-0731

Organizations & group practices 6

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

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1871572644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 N SUSQUEHANNA TRL STE A",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174048495",
            "telephone_number": "717-812-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 N SUSQUEHANNA TRL STE A",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174048495",
            "telephone_number": "717-812-0731",
            "fax_number": "717-812-9848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 N Main St",
            "address_purpose": "LOCATION",
            "city": "Spring Grove",
            "state": "PA",
            "postal_code": "173621134",
            "country_code": "US",
            "telephone_number": "717-225-3610",
            "fax_number": "717-225-3610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "PUNEET",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010558L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018599550001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgupta62215@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2295 N Susquehanna Trl Ste A",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174048495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.