Kavita Gupta-Shah, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD448419 Issued in PA

Practice address

295 Buck Rd Ste 106
Holland, PA 18966-1748

Phone

(215) 322-1919

Fax

(215) 322-2875

NPI assigned

Apr 26, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Kavita Gupta Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Einstein Community Health Associates, Inc

  • Family Medicine Physician
  • Phila, PA
  • NPI 1558316109
  Medicare reassignment NPD
• Einstein Community Health Associates, Inc

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1427662931
  NPD
• Brockton Neighborhood Health Center, Inc.

  • Community/Retail Pharmacy
  • Brockton, MA
  • NPI 1528704061
  NPD (past)

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

{
    "created_epoch": "1209168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1871768291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 BUCK RD STE 106",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189661748",
            "telephone_number": "215-322-1919",
            "fax_number": "215-322-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 BUCK RD STE 106",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189661748",
            "telephone_number": "215-322-1919",
            "fax_number": "215-322-2875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Limekiln Pike Ste B",
            "address_purpose": "LOCATION",
            "city": "Dresher",
            "state": "PA",
            "postal_code": "190251053",
            "country_code": "US",
            "telephone_number": "215-643-7331",
            "fax_number": "215-654-0741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA-SHAH",
        "first_name": "KAVITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-26",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08390800",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "243302",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD448419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAVITA",
            "last_name": "GUPTA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Ruth Gray-Karagrigoriou, AU.D
• Great Start Therapy Associates, LLC
• Eileen Kelly Greco, CRNP
• Arlene Greenberg
• Zoya Grinblat-Shvartsman
• Hariett B. Levinson DPM PC
• Debra Harvey, CRNP
• Darci Haun, MSW
• Help With Love Agency
• Glenn Jay Herman, MPT

• Pediatrics Physician in Holland, PA
• Providers in Holland, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.