NPIMap

Organization Active NPI

Renuka Gupta MD PC

  • Internal Medicine Physician
  • Greenbelt, MD
National Provider Identifier
1962479543
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RENUKA GUPTA MD PC
Practice address
7215 Hanover Pkwy
D
Greenbelt, MD 20770-2019
Phone
(301) 345-7885
Fax
(301) 345-7422
NPI assigned
Mar 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

Name
Dr. Renuka Gupta, M.D.NPI 1366419566
Title
President
Phone
(301) 345-7885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7215 Hanover Pkwy
D
Greenbelt, MD 20770-2019

Mailing address

7215 Hanover Pkwy
D
Greenbelt, MD 20770-2019
Phone (301) 345-7885

Other identifiers 1

IdentifierTypeStateIssuer
406646400MedicaidMD

National Provider Directory

National Provider Directory

Locations

7215 Hanover Pkwy
Ste D
Greenbelt, MD 20770
Phone (301) 345-7885

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1962479543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 HANOVER PKWY",
            "address_2": "D",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702019",
            "telephone_number": "301-345-7885",
            "fax_number": "301-345-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 HANOVER PKWY",
            "address_2": "D",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702019",
            "telephone_number": "301-345-7885",
            "fax_number": "301-345-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENUKA GUPTA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RENUKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-345-7885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406646400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.