Individual provider Active NPI

Gaytri Gupta Elera

  • Ophthalmology Physician
  • Gaithersburg, MD
National Provider Identifier
1992169320
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0088916 Issued in MD
Practice address
6 Montgomery Village Ave Ste 103
Gaithersburg, MD 20879-3530
Phone
(301) 840-2208
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MT211446 PA
Ophthalmology Physician 207W00000X D0088916 MD Primary

Addresses

Primary practice location

6 Montgomery Village Ave Ste 103
Gaithersburg, MD 20879-3530

Mailing address

6 Montgomery Village Ave Ste 103
Gaithersburg, MD 20879-3530
Phone (301) 840-2208

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-8521

Other practice location 2

500 University Dr
Hershey, PA 17033
Phone (171) 531-5690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20210419002509 DC Practitioner - Ophthalmology 4880989144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Pennsylvania State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farhad Naseh MD PAGroup PAC ID 2769403013, 3 clinicians

Practice addresses (Care Compare)

6 Montgomery Village Ave
Suite 103
Gaithersburg, MD 20879-3530
Phone (301) 840-2208

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0088916MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farhad Naseh MD PA Ophthalmology CurrentSince Apr 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6 Montgomery Village Ave
Ste 103
Gaithersburg, MD 20879
Phone (301) 840-2208

Organizations & group practices 2

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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1992169320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MONTGOMERY VILLAGE AVE STE 103",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793530",
            "telephone_number": "301-840-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MONTGOMERY VILLAGE AVE STE 103",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793530",
            "telephone_number": "301-840-2208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-8521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "17033",
            "country_code": "US",
            "telephone_number": "171-531-5690",
            "fax_number": "717-531-5009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA ELERA",
        "first_name": "GAYTRI",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MT211446",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0088916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.