Individual provider Active NPI

Nitin Gupta, M.D., M.P.H.

  • Ophthalmology Physician
  • Raleigh, NC
National Provider Identifier
1962454835
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2008-00033 Issued in NC
Practice address
1101 Dresser CT
Raleigh, NC 27609-7327
Phone
(919) 878-4060
Fax
(919) 256-0499
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2008-00033 NC Primary

Addresses

Primary practice location

1101 Dresser CT
Raleigh, NC 27609-7327

Mailing address

1101 Dresser CT
Raleigh, NC 27609-7327
Phone (919) 878-4060

Other identifiers 1

IdentifierTypeStateIssuer
5910128MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20080630000647 NC Practitioner - Ophthalmology 6709888183 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Brody School of Medicine at East Carolina University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Associates, PLLCGroup PAC ID 3870498876, 18 clinicians
Medical Eye Associates PAGroup PAC ID 4981633914, 4 clinicians

Practice addresses (Care Compare)

1101 Dresser CT
Raleigh, NC 27609-7327
Phone (919) 782-8038

1707 Medical Park Dr W
Suite 1
Wilson, NC 27893-2876
Phone (252) 291-7008

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Eye Associates PA Ophthalmology CurrentSince May 2, 2023 Accepting new patients
Taylor Retina Center, PLLC Ophthalmology CurrentSince Jul 16, 2008 Accepting new patients
Rocky Mount Eye PA Ophthalmology CurrentSince Jan 1, 2020 Accepting new patients
Retina Associates, PLLC Ophthalmology CurrentSince Mar 31, 2025 Accepting new patients
Singleton Vision Center Ophthalmology PastSince Oct 20, 2004 Accepting new patients
Madan Lal M.D. P.a. Past Accepting new patients

Locations

145 Tilghman Dr
Ste 200
Dunn, NC 28334
Phone (919) 862-9090

145 Tilghman Dr
Dunn, NC 28334
Phone (910) 891-7007

1726 Metromedical Dr
Fayetteville, NC 28304
Phone (910) 484-2284

515 N Spence Ave
Goldsboro, NC 27534
Phone (919) 778-7110

2340 Hemby Ln
Ste 300
Greenville, NC 27834

3322 Wellons Blvd
New Bern, NC 28562
Phone (252) 634-1616

4414 Lake Boone Trl
Ste 302
Raleigh, NC 27607
Phone (919) 782-8038

1101 Dresser Ct
Raleigh, NC 27609
Phone (919) 876-2010

3124 Blue Ridge Rd
Ste 101
Raleigh, NC 27612
Phone (919) 782-2333

4037 Capital Dr
Rocky Mount, NC 27804

1680 E Booker Dairy Rd
Smithfield, NC 27577
Phone (919) 938-6101

925 N Brightleaf Blvd
Smithfield, NC 27577
Phone (910) 934-3108

2402 Montgomery Dr SW
Wilson, NC 27893
Phone (252) 243-2020

1707 Medical Park Dr W
Ste 1
Wilson, NC 27893
Phone (252) 291-7008

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nitin.gupta.p1@direct.medicaleyenc.nextgenshare.com
  • Direct secure messaging: ngupta@trc.intellechartdirect.net

Organizations & group practices 6

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1962454835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 DRESSER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097327",
            "telephone_number": "919-878-4060",
            "fax_number": "919-256-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 DRESSER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097327",
            "telephone_number": "919-878-4060",
            "fax_number": "919-256-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "NITIN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2008-00033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910128",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.