Individual provider Active NPI

Navneet Gupta, MD

  • Physical Medicine & Rehabilitation Physician
  • Mauldin, SC
National Provider Identifier
1962495531
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
27306 Issued in SC
Practice address
213 E Butler Road
Suite F1
Mauldin, SC 29662-2172
Phone
(864) 284-0470
Fax
(864) 284-0471
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 41890 TN
Physical Medicine & Rehabilitation Physician 208100000X 27306 SC Primary

Addresses

Primary practice location

213 E Butler Road
Suite F1
Mauldin, SC 29662-2172

Mailing address

213 E Butler Rd Ste F1
Mauldin, SC 29662-2172
Phone (864) 284-0470

Other identifiers 1

IdentifierTypeStateIssuer
273064MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20040903000364 SC Practitioner - Physical Medicine and Rehabilitation 6002882784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Arkansas College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

213 E Butler Rd
Suite F1
Mauldin, SC 29662-2172
Phone (864) 284-0470

Hospital & facility affiliations

  • Prisma Health Hillcrest Hospital Hospital, Simpsonville, SC, CCN 420037
  • Pelham Medical Center Hospital, Greer, SC, CCN 420103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27306SCMDPhysical Medicine & Rehabilitation Physician
41890TNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Rehabilitation and Pain Management, LLC CurrentSince Jan 1, 2010 Accepting new patients
Pain Medicine Associates, P.C. Past Accepting new patients
Carolina Medical Rehab Physical Medicine & Rehabilitation Past Accepting new patients
Pain Medicine Associates, P.C. Past Accepting new patients

Locations

213 E Butler Rd
Ste F1
Mauldin, SC 29662
Phone (864) 284-0470

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1962495531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E BUTLER RD STE F1",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622172",
            "telephone_number": "864-284-0470",
            "fax_number": "864-284-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E BUTLER ROAD",
            "address_2": "SUITE F1",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622172",
            "telephone_number": "864-284-0470",
            "fax_number": "864-284-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "NAVNEET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "41890",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "27306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273064",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauldin, SC

Sources for this page

Verify at the official NPI Registry.