Diksha Gupta

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102207087 Issued in VA

Practice address

8320 Old Courthouse Rd Ste 401
Vienna, VA 22182-3848

Phone

(571) 506-0892

Fax

(702) 202-9615

NPI assigned

Mar 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC, Family Medicine, VA

  Medicare reassignment NPD
• First Gen Docs LLC

  • Family Medicine Physician
  • Vienna, VA
  • NPI 1205678190

  Family Medicine

  NPD Authorized official
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Burke Family Practice P.C.

  • Family Medicine Physician
  • Burke, VA
  • NPI 1487765830

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1912467192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 OLD COURTHOUSE RD STE 401",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823848",
            "telephone_number": "571-506-0892",
            "fax_number": "702-202-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 OLD COURTHOUSE RD STE 401",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823848",
            "telephone_number": "571-506-0892",
            "fax_number": "702-202-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "DIKSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102207087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nishi Gulati, M.D.
• Aklilu Guluma, FNP
• Kirsten Virginia Gunter, MSN, CPNP-AC
• Juanli Guo, DMD, MS, PHD, FACP
• Run Guo, LAC
• Lindsey Ruth Gustafson, NP
• David Michael Gustitus, D.C.
• Gynecology & Wellness Center LLC
• H. R. Makarita DDS PC
• Noelle Ha

• All providers in Vienna, VA
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.