Nikhil Gupta, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A151035 Issued in CA

Practice address

17203 Jasmine St
Victorville, CA 92395-7786

Phone

(760) 881-3377

Fax

(760) 881-3350

NPI assigned

Apr 14, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Gastroenterology

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Gastro Group IncGroup PAC ID 3173709185, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St Mary Medical Center Hospital, Apple Valley, CA, CCN 050300

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

92.83

Promoting interoperability

100

Improvement activities

40

Cost

78.22

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• The Gastro Group, Inc.

  • Gastroenterology Physician
  • Victorville, CA
  • NPI 1316247521

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Desert View Endoscopy Center, LLC.

  • Ambulatory Surgical Clinic/Center
  • Victorville, CA
  • NPI 1316231020
  Medicare reassignment NPD
• Diamond Pathology LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Victorville, CA
  • NPI 1558186650

  Single Specialty

  NPD
• Gentle Sedation

  • Anesthesiology Physician
  • Victorville, CA
  • NPI 1851187793

  Single Specialty

  NPD
• Providence Health & Services - Washington

  • General Acute Care Hospital
  • Walla Walla, WA
  • NPI 1386895886
  NPD (past)

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

• St. Mary Medical Center

  • Advanced Practice Midwife
  • Apple Valley, CA
  • NPI 1043406440

  Hospital

  Care Compare affiliation
• St. Mary Medical Center

  • General Acute Care Hospital
  • Apple Valley, CA
  • NPI 1669456299
  Care Compare affiliation
• St. Mary Medical Center

  • General Acute Care Hospital
  • Apple Valley, CA
  • NPI 1710109186
  Care Compare affiliation

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1982058152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17203 JASMINE ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957786",
            "telephone_number": "760-881-3377",
            "fax_number": "760-881-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17203 JASMINE ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957786",
            "telephone_number": "760-881-3377",
            "fax_number": "760-881-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "NIKHIL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-14",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A151035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NG3232267556",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trina Marie Guillen
• Anthony Guinn
• Pushpinder S Guleria, M.D.
• Edwin Gultom, COTA
• Megha Nayyar Gupta, MD
• Miranda Roxanne Guthrie
• Angela Gutierrez
• Gavin R Gutierrez
• Jasmine Gutierrez
• Jenny Gutierrez

• Gastroenterology Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.