Active NPI
Pranay Gupta, MD
- Ophthalmology Physician
- Colonial Heights, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101230970
- Practice address
- 3660 Boulevard
Colonial Heights, VA 23834-1345 - Phone
- (804) 243-2020
- Fax
- (804) 754-1428
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0101230970 | VA | Primary |
Addresses
Primary practice location
3660 Boulevard
Colonial Heights, VA 23834-1345
Mailing address
809 Club Ridge CT
Chester, VA 23836-2745
Phone (804) 243-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6304559 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Ophthalmology
- Education
- University of Maryland School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3660 Boulevard
Colonial Heights, VA 23834-1345
Phone (804) 243-2020
Hospital & facility affiliations
- John Randolph Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.29 of 100
- Quality
- 15
- Improvement activities
- 0
- Cost
- 57.62
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 71 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Eye Specialists PC | Ophthalmology | Current | Accepting new patients |
| Carl D. Outen, MD, PC | Ophthalmology | Past | Accepting new patients |
| Tri Cities Counseling Services LLC | Past | Accepting new patients | |
| Eye Care Center of Virginia PC | Past | Accepting new patients |
Locations
3660 Boulevard
Colonial Heights, VA 23834
Phone (804) 243-2020
3660 Boulevard
Ste K
Colonial Hgts, VA 23834
203 Sharp St
Lawrenceville, VA 23868
Phone (434) 336-1222
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Colonial Heights, VA
- NPI 1215072400
-
- Ophthalmology Physician
- Richmond, VA
- NPI 1821195801
-
- Specialist
- Henrico, VA
- NPI 1396934709
-
- Clinical Social Worker
- Colonial Heights, VA
- NPI 1649315847
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hopewell, VA
- NPI 1285671248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207267200000",
"number": "1982641049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 CLUB RIDGE CT",
"city": "CHESTER",
"state": "VA",
"postal_code": "238362745",
"telephone_number": "804-243-2020",
"fax_number": "804-754-1428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 BOULEVARD",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238341345",
"telephone_number": "804-243-2020",
"fax_number": "804-754-1428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "PRANAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2008-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "VA",
"license": "0101230970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6304559",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colonial Heights, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.