Individual provider Active NPI

Sandeep Gupta, MD

  • Psychiatry Physician
  • Wilmington, DE
National Provider Identifier
1972577005
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C10007149 Issued in DE
Practice address
501 W 14TH Street
Wilmington Hospital, Department of Psychiatry
Wilmington, DE 19801
Phone
(302) 421-2100
Fax
(302) 421-2121
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C10007149 DE Primary

Addresses

Primary practice location

501 W 14TH Street
Wilmington Hospital, Department of Psychiatry
Wilmington, DE 19801

Mailing address

501 W 14TH Street
Wilmington Hospital, Department of Psychiatry
Wilmington, DE 19801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20040729000653 DE Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 8224928874 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brain Spa de LLCGroup PAC ID 0840607511, 6 clinicians
Serene Minds LLCGroup PAC ID 0143519553, 22 clinicians

Practice addresses (Care Compare)

410 Foulk Rd
Suite 105
Wilmington, DE 19803-3835
Phone (678) 296-0842

80 Omega Dr
BLDG C
Newark, DE 19713-2064
Phone (302) 478-6199

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Spa de LLC CurrentSince Jan 1, 2021 Accepting new patients
Christiana Care Health Services, Inc Psychiatry CurrentSince Aug 15, 2017 Accepting new patients
Serene Minds, LLC CurrentSince Mar 26, 2016 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
Christiana Care Health Services Inc Past Accepting new patients

Locations

80 Omega Dr
Bldg C
Newark, DE 19713
Phone (302) 478-6199

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

314 E Main St
Ste 405
Newark, DE 19711
Phone (302) 478-6199

100 Sunnyside Rd
#2
Smyrna, DE 19977
Phone (302) 653-1900

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

410 Foulk Rd
Ste 102
Wilmington, DE 19803
Phone (302) 478-6199

410 Foulk Rd
Ste 105
Wilmington, DE 19803
Phone (302) 762-2283

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

Interoperability endpoints

  • Direct secure messaging: sereneminds.sandeepgupta@134887.advancedmd-direct.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/

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.

Hospital & facility affiliations 1

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1972577005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W 14TH STREET",
            "address_2": "WILMINGTON HOSPITAL, DEPARTMENT OF PSYCHIATRY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 14TH STREET",
            "address_2": "WILMINGTON HOSPITAL, DEPARTMENT OF PSYCHIATRY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19801",
            "telephone_number": "302-421-2100",
            "fax_number": "302-421-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SANDEEP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C10007149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.