Active NPI
Arjun K Gupta, MD
- Family Medicine Physician
- Valparaiso, IN
National Provider Identifier
1982664207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- IN01030993B
- Practice address
- 2031 Roosevelt Rd
Valparaiso, IN 46383-2746 - Phone
- (219) 736-8117
- Fax
- (219) 464-7651
- NPI assigned
- Mar 23, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IN01030993B | IN | Primary |
Addresses
Primary practice location
2031 Roosevelt Rd
Valparaiso, IN 46383-2746
Mailing address
2031 Roosevelt Rd
Valparaiso, IN 46383-2746
Phone (219) 736-8117
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000090548 | Other | IN | ANTHEM BC/BS |
| 100188670 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IN01030993B | IN | MD | Family Medicine Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Medicine Physician
- Valparaiso, IN
- NPI 1770660557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1982664207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 ROOSEVELT RD",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832746",
"telephone_number": "219-736-8117",
"fax_number": "219-464-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2031 ROOSEVELT RD",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832746",
"telephone_number": "219-736-8117",
"fax_number": "219-464-7651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "ARJUN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "IN01030993B",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000090548",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100188670",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.