Individual provider Active NPI

Abhishek Gupta, D.O.

  • Surgery Physician
  • Battle Creek, MI
National Provider Identifier
1902194830
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101019192 Issued in MI
Practice address
363 Fremont St Ste 208
Battle Creek, MI 49017-3398
Phone
(269) 245-8310
Fax
(269) 245-8345
NPI assigned
Jul 12, 2011
Last updated
Oct 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101019192 MI Primary

Addresses

Primary practice location

363 Fremont St Ste 208
Battle Creek, MI 49017-3398

Mailing address

363 Fremont St Ste 208
Battle Creek, MI 49017-3398
Phone (269) 245-8310

Other practice location 1

601 John St Ste M-283
Kalamazoo, MI 49007-5382
Phone (269) 349-7696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160802000238 MI Practitioner - General Surgery 8123337318 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Battle Creek HospitalGroup PAC ID 0547173478, 187 clinicians
Bronson Lakeview HospitalGroup PAC ID 9032008495, shared by 6 NPIs, 72 clinicians
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

Practice addresses (Care Compare)

300 N Ave
Battle Creek, MI 49017-3307

300 N Ave Outpatient Ctr 2ND FL
Bronson Neuroscience Center
Battle Creek, MI 49017-3307
Phone (269) 245-5862

363 Fremont St
Suite 208
Battle Creek, MI 49017-3398
Phone (269) 245-8208

404 Hazen St
Suite 101
Paw Paw, MI 49079-1075
Phone (269) 657-4407

601 John St
Kalamazoo, MI 49007-5377

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux29
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101019192MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Battle Creek Hospital Surgery CurrentSince Jan 8, 2018 Accepting new patients
Bronson Lakeview Hospital Surgery CurrentSince Aug 31, 2020 Accepting new patients
Bronson Methodist Hospital CurrentSince Oct 17, 2019 Accepting new patients
Promedica Central Corporation of Michigan Surgery CurrentSince Sep 1, 2016 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Jan 8, 2018 Accepting new patients
Bronson Lakeview Hospital CurrentSince Aug 31, 2020 Accepting new patients
Bronson Lakeview Hospital Current Accepting new patients

Locations

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

363 Fremont St
Ste 208
Battle Creek, MI 49017
Phone (269) 245-8310

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Ste M-283
Kalamazoo, MI 49007
Phone (269) 349-7696

3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494

404 Hazen St
Ste 101
Paw Paw, MI 49079
Phone (269) 657-2550

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

Organizations & group practices 7

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 3

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1902194830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 FREMONT ST STE 208",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173398",
            "telephone_number": "269-245-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 FREMONT ST STE 208",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173398",
            "telephone_number": "269-245-8310",
            "fax_number": "269-245-8345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 John St Ste M-283",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490075382",
            "country_code": "US",
            "telephone_number": "269-349-7696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ABHISHEK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101019192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.