Individual provider Active NPI

Dhruv Gupta, MD

  • Neonatal-Perinatal Medicine Physician
  • El Paso, TX
National Provider Identifier
1982047726
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
S0893 Issued in TX
Practice address
3280 Joe Battle Blvd
El Paso, TX 79938-2622
Phone
(313) 896-8168
NPI assigned
Apr 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neonatal-Perinatal Medicine Physician 2080N0001X S0893 TX Primary

Addresses

Primary practice location

3280 Joe Battle Blvd
El Paso, TX 79938-2622

Mailing address

6082 Franklin Dove Ave
El Paso, TX 79912-7710
Phone (313) 896-8168

Other practice location 1

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-5147

Other identifiers 1

IdentifierTypeStateIssuer
G130142018780OtherMICHIGAN DRIVING LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190828000246 TX Practitioner - Pediatric Medicine 3072815224 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Texas Billing, Inc. Neonatal-Perinatal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Las Cruces Medical Center LLC Past Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients
PHC-Las Cruces Inc Past Accepting new patients
Tenet Hospitals Limited Past Accepting new patients
Tenet Hospitals Limited Past Accepting new patients

Locations

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

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.

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1982047726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6082 FRANKLIN DOVE AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127710",
            "telephone_number": "313-896-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382622",
            "telephone_number": "313-896-8168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Saint Antoine St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012153",
            "country_code": "US",
            "telephone_number": "313-745-5147",
            "fax_number": "313-966-0880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "DHRUV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "S0893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN DRIVING LICENSE",
            "identifier": "G130142018780",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.