Individual provider Active NPI

Chetan Gupta, M.D.

  • General Practice Physician
  • Cincinnati, OH
National Provider Identifier
1932228129
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35094424 Issued in OH
Practice address
7300 Beechmont Ave
Cincinnati, OH 45230-4119
Phone
(513) 232-9100
Fax
(513) 232-9100
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35094424 OH
Surgery Physician 208600000X 35094424 OH
General Practice Physician 208D00000X 35094424 OH Primary

Addresses

Primary practice location

7300 Beechmont Ave
Cincinnati, OH 45230-4119

Mailing address

7300 Beechmont Ave
Cincinnati, OH 45230-4119
Phone (513) 232-9100

Other practice location 1

7683 Mall Rd Unit B
Florence, KY 41042-1590
Phone (859) 817-1320

Other identifiers 1

IdentifierTypeStateIssuer
3004895MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, NV3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20091215000191 OH Practitioner - Family PracticePractitioner - General Practice 0345380887 Reassigns benefits to 1 organization
I20200106000554 KY Practitioner - Family Practice 0345380887 Reassigns benefits to 1 organization
I20200921001223 NV Practitioner - General Practice 0345380887 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35094424OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aaa Urgent Care LLC CurrentSince Oct 1, 2023 Accepting new patients
Carefirst Urgent Care, LLC Family Medicine CurrentSince Aug 6, 2020 Accepting new patients
Lindenwald Medical Associates Inc PastSince Mar 1, 2015 Accepting new patients
Clinic 21 of Nevada Zyniewicz PLLC PastSince Sep 1, 2015 Accepting new patients

Locations

8229 NW 88th Ave
Tamarac, FL 33321
Phone (513) 535-7181

5216 Boulder Hwy
Ste 105
Las Vegas, NV 89122
Phone (513) 846-6778

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1932228129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 BEECHMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304119",
            "telephone_number": "513-232-9100",
            "fax_number": "513-232-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 BEECHMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304119",
            "telephone_number": "513-232-9100",
            "fax_number": "513-232-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7683 Mall Rd Unit B",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410421590",
            "country_code": "US",
            "telephone_number": "859-817-1320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "CHETAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35094424",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35094424",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35094424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004895",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.