NPIMap

Individual provider Active NPI

Vipin Gupta, MD

  • Gastroenterology Physician
  • Lighthouse Point, FL
National Provider Identifier
1912091794
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME 89279 Issued in FL
Practice address
5340 N Federal Hwy Ste 110
Lighthouse Point, FL 33064-7058
Phone
(954) 428-2480
Fax
(954) 428-2904
NPI assigned
Oct 3, 2006
Last updated
Oct 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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 MD 425480 PA
Gastroenterology Physician 207RG0100X ME 89279 FL Primary

Addresses

Primary practice location

5340 N Federal Hwy Ste 110
Lighthouse Point, FL 33064-7058

Mailing address

5340 N Federal Hwy Ste 110
Lighthouse Point, FL 33064-7058
Phone (954) 428-2480

Other practice location 1

1500 N University Dr Ste 100
Coral Springs, FL 33071-6071
Phone (954) 428-2480

Other identifiers 2

IdentifierTypeStateIssuer
272763300MedicaidFL
1021692900001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050722000531 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 2163320979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premium Practice Solutions, LLCGroup PAC ID 1456520949, 5 clinicians

Practice addresses (Care Compare)

1500 N University Dr
Suite 100
Coral Springs, FL 33071-6071
Phone (954) 757-4002

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy108
Upper gastrointestinal (GI) endoscopy for acid reflux325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 425480PAMDInternal Medicine Physician
ME 89279FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Point Ambulatory and Surgery Center LLC Gastroenterology CurrentSince Jul 28, 2025 Accepting new patients
Lighthouse Foot & Ankle Center PastSince Jun 20, 2011 Accepting new patients

Locations

5340 N Federal Hwy
Ste 100
Lighthouse Point, FL 33064
Phone (954) 245-3900

Organizations & group practices 3

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 6

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1912091794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 N FEDERAL HWY STE 110",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647058",
            "telephone_number": "954-428-2480",
            "fax_number": "954-428-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 N FEDERAL HWY STE 110",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647058",
            "telephone_number": "954-428-2480",
            "fax_number": "954-428-2904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 N University Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330716071",
            "country_code": "US",
            "telephone_number": "954-428-2480",
            "fax_number": "954-428-2904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "VIPIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-10-25",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD 425480",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME 89279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272763300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021692900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

Verify at the official NPI Registry.