Isha Gupta, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

12879547-1205 Issued in UT

Practice address

4360 Washington Blvd
Ogden, UT 84403-1866

Phone

(801) 476-0494

Fax

(801) 479-3937

NPI assigned

May 5, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Ophthalmology

Education

University of Utah School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mt Ogden Eye Center LLCGroup PAC ID 2860474962, 19 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: igupta@utaheye.imwdirect.com

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.

• Mt Ogden Eye Center LLC

  • Ophthalmology Physician
  • Ogden, UT
  • NPI 1700927043
  Medicare reassignment Care Compare group NPD
• Mt Ogden Eye Center LLC

  • Ophthalmology Physician
  • Bountiful, UT
  • NPI 1740431428
  NPD
• University of Miami

  • Hepatology Physician
  • Miami, FL
  • NPI 1013967827
  NPD
• Flatirons Ophthalmology

  • Ophthalmology Physician
  • Boulder, CO
  • NPI 1942523543
  NPD (past)
• University of Miami

  • Ambulatory Surgical Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1346317039
  NPD (past)

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1972980332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 WASHINGTON BLVD",
            "address_2": "ATTN CREDENTIALING",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031866",
            "telephone_number": "801-476-0494",
            "fax_number": "801-479-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031866",
            "telephone_number": "801-476-0494",
            "fax_number": "801-479-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 E 3300 S Ste B",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841064389",
            "country_code": "US",
            "telephone_number": "801-476-0494",
            "fax_number": "801-479-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 W 1500 S Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840107408",
            "country_code": "US",
            "telephone_number": "801-476-0494",
            "fax_number": "801-677-1144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ISHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "12879547-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Elizabeth Gryder, BCBA
• Guardian Flight LLC
• Jason Clark Gubler, DPT
• Elizabeth Violet Guenzel, M.D.
• Dana G Gundersen, RD, CD, CDE
• Elizabeth Gutierrez Gonzalez
• Felipe Gutierrez
• Garth J Guymon, MD
• Jessica Guymon, FNP
• Gynecology Specialists of Utah, LLC

• Ophthalmology Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Ophthalmology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.

Verify at the official NPI Registry.