Active NPI
Ashish K Gupta, MD
- Vascular Surgery Physician
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- ME113628
- Practice address
- 1399 Jenks Ave # 12
Panama City, FL 32401-2442 - Phone
- (850) 532-6303
- Fax
- (850) 307-5402
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | ME113628 | FL | Primary |
Addresses
Primary practice location
1399 Jenks Ave # 12
Panama City, FL 32401-2442
Mailing address
1399 Jenks Ave # 12
Panama City, FL 32401-2442
Phone (850) 532-6303
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010517300 | Medicaid | FL | |
| 31895 | Other | FL | FLORIDA BLUE |
| P01249310 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Morehouse School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1399 Jenks Ave
Suite 12
Panama City, FL 32401-2596
Phone (850) 532-6303
Hospital & facility affiliations
- HCA Florida Gulf Coast Hospital
- Ascension Sacred Heart Bay
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95.52
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 67 |
| Leg revascularization (restoring blood flow) | 28 |
| Removal of tissue | 181 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Vascular of Panama City PLLC | Vascular Surgery | Current | Accepting new patients |
| Lambert, Klamer and Gupta, PSC | Vascular Surgery | Past | Accepting new patients |
Locations
1399 Jenks Ave
Ste 12
Panama City, FL 32401
1399 Jenks Ave
#12
Panama City, FL 32401
Phone (850) 532-6303
10800 Panama City Beach Pkwy
Ste 300
Panama City Beach, FL 32407
Phone (850) 250-2637
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GICECA/Endpoint/GICECA
- https://fhir4.healow.com/fhir/r4/GICECA
Organizations & group practices 2
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.
-
- Vascular Surgery Physician
- Panama City, FL
- NPI 1699109181
-
- Vascular Surgery Physician
- Louisville, KY
- NPI 1013193077
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1942390729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1399 JENKS AVE # 12",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324012442",
"telephone_number": "850-532-6303",
"fax_number": "850-307-5402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 JENKS AVE # 12",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324012442",
"telephone_number": "850-532-6303",
"fax_number": "850-307-5402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "ASHISH",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME113628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010517300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "31895",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01249310",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.