DR. MAMTA GUPTA MD NPI 1003007022

Internal Medicine in Dallas, TX

About MAMTA GUPTA

Mamta Gupta is a provider in Dallas, TX with more than 17 years of experience. The NPI number assigned to this provider is 1003007022. The practitioner's primary taxonomy code is Internal Medicine (207R00000X). The provider is registered as an individual and their NPI record was last updated 0 years ago. Mamta Gupta is registered with Medicare and accepts claims assignment.

NPI1003007022 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. MAMTA GUPTA MD
Provider Location Address3600 GASTON AVE SUITE 550 DALLAS, TX 75246 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address3600 GASTON AVE STE 550 DALLAS, TX 75246 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year2001
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-06-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-26-2017 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. MAMTA GUPTA MD
3600 GASTON AVE
SUITE 550
DALLAS, TX
ZIP 75246
Phone: (214) 821-8867
Fax: (214) 821-1193
Get Directions

Mailing Address

DR. MAMTA GUPTA MD
3600 GASTON AVE STE 550
DALLAS, TX
ZIP 75246
Phone: (214) 821-1177
Fax: (214) 821-1193

Primary Taxonomy

Taxonomy Code207R00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.M7234
License StateTX
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Medicare Participation

PECOS PAC ID5193808087
PECOS Enrollment IDI20080215000327
Accepts Medicare Assignment? Yes Additional informationCallout Tooltip"What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.

Hospital Affiliations

Hospital Name CMS Certification Number (CCN)
BAYLOR UNIVERSITY MEDICAL CENTER450021

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramNo

Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
8AL361OTHER (01)TX

Map Location


DR. MAMTA GUPTA MD address is 3600 GASTON AVE SUITE 550 DALLAS, TX 75246

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013918234DR. FRANK A BRANCACCIO M.D.
Individual
Internal Medicine (Pulmonary Disease)3600 GASTON AVE SUITE 806
DALLAS, TX 75246
(214) 824-8521
1043215429 NORMAN SLUSHER M.D.
Individual
Ophthalmology3600 GASTON AVE STE 964
DALLAS, TX 75246
(214) 826-7470
1144208836PHILIP B. HALLORAN, MD
Organization
Surgery3600 GASTON AVE SUITE 701
DALLAS, TX 75246
(214) 823-6340
1144226218HEALTHTEXAS PROVIDER NETWORK-ORTHOPEDIC SERVICES, LLP
Organization
Orthopaedic Surgery3600 GASTON AVE STE 1101
DALLAS, TX 75246
(214) 820-8350
1154322386DR. KENNETH A AUSLOOS M. D.
Individual
Internal Medicine (Pulmonary Disease)3600 GASTON AVE
DALLAS, TX 75246
(214) 824-8521
1174508311DR. MARYAM ZAMANIAN MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)3600 GASTON AVE SUITE 454
DALLAS, TX 75246
(214) 820-8940
1225028988 ANNAH M KING OTR/L, CHT
Individual
Specialist3600 GASTON AVE SUITE 450
DALLAS, TX 75246
(214) 823-5351
1295736437DR. JOHN MICHAEL JORDAN M.D.
Individual
Internal Medicine (Pulmonary Disease)3600 GASTON AVE SUITE 806
DALLAS, TX 75246
(214) 824-8521
1295796589 DION GRAYBEAL MD
Individual
Psychiatry & Neurology (Neurology)3600 GASTON AVE BARNETT TOWER, SUITE 600
DALLAS, TX 75246
(214) 820-4561
1316912876 TROY W SCOTT M.D.
Individual
Specialist3600 GASTON AVE BARNETT TOWER SUITE 906
DALLAS, TX 75246
(214) 824-8310
1356318166MRS. DORRINE B MOORE FNP C
Individual
Nurse Practitioner3600 GASTON AVE SUITE 1052
DALLAS, TX 75246
(214) 824-4412
1376541193HEALTHTEXAS PROVIDER NETWORK
Organization
Orthopaedic Surgery3600 GASTON AVE SUITE 1101
DALLAS, TX 75246
(214) 820-7010
1396710224DR. BRUCE ALLEN SMITH M.D.
Individual
Surgery3600 GASTON AVE STE. 710
DALLAS, TX 75246
(214) 827-5820
1437154077HEALTHTEXAS PROVIDER NETWORK-NEUROSURGICAL ASSOCIATES, LLP
Organization
Neurological Surgery3600 GASTON AVE STE 1158-WADLEY
DALLAS, TX 75246
(214) 820-8585
1508861527DR. GEORGE JACKSON SNIPES JR. M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3600 GASTON AVE WADLEY TOWER, #261
DALLAS, TX 75246
(214) 823-6492
1588642268DR. PHILIP BRADLEY HALLORAN MD
Individual
Surgery3600 GASTON AVE SUITE 701
DALLAS, TX 75246
(214) 823-6340
1790756369DR. CAROL FAITH ADAIR M.D.
Individual
Pathology (Anatomic Pathology)3600 GASTON AVE SUITE 261 WADLEY TOWER
DALLAS, TX 75246
(214) 818-9100
1841279791 JOHN EDWARD CAPEHART MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)3600 GASTON AVE STE 404 BARNETT TOWER
DALLAS, TX 75246
(214) 824-6718
1871598466HEALTHTEXAS PROVIDER NETWORK - CARDIO-THORACIC SERVICES LLP
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)3600 GASTON AVE STE 404
DALLAS, TX 75246
(214) 827-3890
1912995770DR. DAVID ASHBY WHITING M. D.
Individual
Dermatology (Dermatopathology)3600 GASTON AVE SUITE 1058 WADLEY TOWER
DALLAS, TX 75246
(214) 820-4247