Individual provider Active NPI

Arvind Kumar Gupta, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Mechanicsburg, PA
National Provider Identifier
1891879979
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
MD070110L Issued in PA
Practice address
42 Bella Vista Dr
Mechanicsburg, PA 17050-1879
Phone
(717) 460-5003
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X MD070110L PA Primary

Addresses

Primary practice location

42 Bella Vista Dr
Mechanicsburg, PA 17050-1879

Mailing address

1525 Spiced Wine Ave
Unit 1101
Henderson, NV 89074-2993
Phone (717) 460-5003

Other identifiers 4

IdentifierTypeStateIssuer
1540117OtherPAGATEWAY
413789OtherPAUPMC
101045411MedicaidPA
781185OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, GU2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140514002513 AZ Practitioner - Internal MedicinePractitioner - Hospitalist 5890773733 Reassigns benefits to 4 organizations
I20221221000935 GU Practitioner - Internal Medicine 5890773733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guam Memorial HospitalGroup PAC ID 5890781694, 132 clinicians

Practice addresses (Care Compare)

850 Gov Carlos Camacho Rd
Tamuning, GU 96913-3128

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.81 of 100Reported as group
Quality
83.57
Improvement activities
40
Cost
76.16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Inc Internal Medicine CurrentSince Apr 1, 2016 Accepting new patients
Guam Memorial Hospital CurrentSince Aug 31, 2022 Accepting new patients
App of Southern Arizona HM LLC Hospitalist CurrentSince May 1, 2021 Accepting new patients
Tempe Emergency Physicians, LTD CurrentSince Sep 1, 2015 Accepting new patients
Guam Memorial Hospital CurrentSince Aug 31, 2022 Accepting new patients
Northwest HBP Medical Services LLC Hospitalist CurrentSince Dec 24, 2020 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Apr 1, 2016 Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Hospitalist Current Accepting new patients
Kidney Care at Home LLC CurrentSince Aug 5, 2021 Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Hospitalist CurrentSince Sep 1, 2015 Accepting new patients
Lehigh Valley Physician Group Internal Medicine Past Accepting new patients
Emcare Physician Providers, Inc Past Accepting new patients
Sacred Heart Healthcare System Internal Medicine Past Accepting new patients
Sacred Heart Healthcare System Internal Medicine Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1301 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 962-0088

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1611792000000",
    "number": "1891879979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 SPICED WINE AVE",
            "address_2": "UNIT 1101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890742993",
            "telephone_number": "717-460-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BELLA VISTA DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501879",
            "telephone_number": "717-460-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ARVIND",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "PA",
            "license": "MD070110L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1540117",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "413789",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101045411",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "781185",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.