Active NPI
Siddhi Gupta
- Infectious Disease Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 2020-03845
- Practice address
- 1900 Randolph Rd Ste 216
Charlotte, NC 28207-1106 - Phone
- (704) 316-5330
- Fax
- (704) 316-5332
- NPI assigned
- Apr 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 2020-03845 | NC | Primary |
Addresses
Primary practice location
1900 Randolph Rd Ste 216
Charlotte, NC 28207-1106
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sgupta821339@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200910003525 | NC | Practitioner - Infectious Disease | 9234433467 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolinas Physicians Network Inc
Practice addresses (Care Compare)
10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-1000
14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373
Hospital & facility affiliations
- Atrium Health Pineville
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Infectious Disease | Current | Accepting new patients |
Locations
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
Interoperability endpoints
- sgupta2795692@carolinashealthcaresystem.direct-ci.com
- sgupta821339@direct.novanthealth.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1003242876
Infectious Disease
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1417432840
Hospital
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1912326331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 RANDOLPH RD STE 216",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071106",
"telephone_number": "704-316-5330",
"fax_number": "704-316-5332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "SIDDHI",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-14",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NC",
"license": "2020-03845",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sgupta821339@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1900 Randolph Rd Ste 216",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282071106",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.