Champalal Gupta, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24166 Issued in WI

Practice address

5300 W Villard Ave
Milwaukee, WI 53218-4345

Phone

(414) 438-6666

Fax

(414) 438-6667

NPI assigned

Jul 31, 2006

Last updated

Jun 18, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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 1

Specialty

Internal Medicine

Education

Other, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Milwaukee Internal Medicine Associates IncGroup PAC ID 6103908785, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lutheran Home Nursing home, Wauwatosa, WI, CCN 525545

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• By Your Side Hospice Care LLC

  dba By Your Side Hospice Care

  • Community Based Hospice Care Agency
  • Milwaukee, WI
  • NPI 1912668401

  Corporate Director

  CMS ownership

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.

• Milwaukee Internal Medicine Associates Inc

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
  • NPI 1457531345

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• By Your Side Hospice Care LLC

  dba By Your Side Hospice Care

  • Community Based Hospice Care Agency
  • Milwaukee, WI
  • NPI 1912668401
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Lutheran Home, Inc.

  • Skilled Nursing Facility
  • Wauwatosa, WI
  • NPI 1285633743

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1962418236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W VILLARD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184345",
            "telephone_number": "414-438-6666",
            "fax_number": "414-438-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W VILLARD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184345",
            "telephone_number": "414-438-6666",
            "fax_number": "414-438-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "CHAMPALAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "24166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30414100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrance Lavell Gunn, PROFESSIONAL COUNSEL
• Veronica Gunn, MD, MPH
• Satya Preetham Gunta, M.D.
• Rhiannon Gunther, CPNP-PC
• Sri Vaishnavi Guntupalli
• Kunal Gupta, MD, PHD
• Madhu N Gupta, MD
• Mrigank Shekhar Gupta, MD
• Navdeep Gupta, M.D.
• Pramod Ramkjanak Gupta, MD

• Internal Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.