Active NPI
Alok Kumar Gupta, M.D.
- Vascular Surgery Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 01067967A
- Practice address
- 1801 N Senate Blvd
Indianapolis, IN 46202-1228 - Phone
- (317) 962-0828
- NPI assigned
- Sep 3, 2009
- Last updated
- Aug 10, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Vascular Surgery Physician | 2086S0129X | 01067967A | IN | Primary |
Addresses
Primary practice location
1801 N Senate Blvd
Indianapolis, IN 46202-1228
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
100 High St
Buffalo, NY 14203-1126
Phone (716) 859-1339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390200000X | Other | NY | STUDENT, HEALTHCARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agupta1@direct.iuhealth.org | ||
| Direct Messaging Address | agupta15590@direct.eskenazihealth.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 962-0280
1115 Ronald Reagan Pkwy
Suite 141
Avon, IN 46123-6913
Phone (317) 962-0280
11700 N Meridian St
Carmel, IN 46032-4656
Phone (317) 962-0280
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
1801 N Senate Blvd
Indianapolis, IN 46202-1184
Phone (317) 962-0280
550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 962-0280
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 12 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01067967A | IN | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Vascular Surgery, Inc | Vascular Surgery | Current | Accepting new patients |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
8016 Reliable Pkwy
Chicago, IL 60686
1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000
1115 Ronald Reagan Pkwy
Ste 141
Avon, IN 46123
Phone (317) 217-2700
1115 Ronald Reagan Pkwy
Ste 329
Avon, IN 46123
Phone (317) 215-2805
11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000
11725 Illinois St
Carmel, IN 46032
Phone (317) 688-2000
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1701 Senate Blvd
#59
Indianapolis, IN 46202
1801 N Senate Blvd
Ste 3300
Indianapolis, IN 46202
Phone (317) 948-0944
1801 Senate Blvd
Indianapolis, IN 46202
Phone (317) 929-8880
1801 Senate Blvd
Ste 3500
Indianapolis, IN 46202
Phone (317) 274-7827
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
702 Barnhill Dr
Indianapolis, IN 46202
Phone (317) 274-0273
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
2600 Greenbush St
Lafayette, IN 47904
5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448
5177 McCarty Ln
Lafayette, IN 47905
Phone (765) 838-7101
Interoperability endpoints
- agupta1@direct.iuhealth.org
- agupta15590@direct.eskenazihealth.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Vascular Surgery Physician
- Indianapolis, IN
- NPI 1043328487
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba IU Health North Hospital
- General Acute Care Hospital
- Carmel, IN
- NPI 1568492916
-
dba IU Health West Hospital
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1962635177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N SENATE BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021228",
"telephone_number": "317-962-0828"
}
],
"practiceLocations": [
{
"address_1": "100 High St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142031126",
"country_code": "US",
"telephone_number": "716-859-1339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "ALOK",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-03",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IN",
"license": "01067967A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STUDENT, HEALTHCARE",
"identifier": "390200000X",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agupta1@direct.iuhealth.org",
"affiliation": "N",
"address_1": "1801 N Senate Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021228",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agupta15590@direct.eskenazihealth.edu",
"affiliation": "N",
"address_1": "720 Eskenazi Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025187",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.