NPIMap

Individual provider Active NPI

Saurabh Gupta, M.D.

  • Internal Medicine Physician
  • Madison Heights, MI
National Provider Identifier
1912926510
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301064922 Issued in MI
Practice address
610 E 12 Mile Rd
Ste B
Madison Heights, MI 48071-2567
Phone
(248) 850-3116
Fax
(248) 850-3119
NPI assigned
Jul 18, 2006
Last updated
Jun 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301064922 MI Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 4301064922 MI
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 4301064922 MI

Addresses

Primary practice location

610 E 12 Mile Rd
Ste B
Madison Heights, MI 48071-2567

Mailing address

610 E 12 Mile Rd
Ste B
Madison Heights, MI 48071-2567
Phone (248) 850-3116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050120000512 MI Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 5799734315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine, Hospice/Palliative Care
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

610 E 12 Mile Rd
Suite B
Madison Heights, MI 48071-2567
Phone (248) 850-3116

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William Beaumont Hospital Past Accepting new patients
Madison Cardiology PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sgupta1130906@direct.hfhs.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1912926510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E 12 MILE RD",
            "address_2": "STE B",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712567",
            "telephone_number": "248-850-3116",
            "fax_number": "248-850-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E 12 MILE RD",
            "address_2": "STE B",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712567",
            "telephone_number": "248-850-3116",
            "fax_number": "248-850-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SAURABH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301064922",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301064922",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4301064922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.