DR. MAMTA GUPTA MD NPI 1003007022

Internal Medicine in Dallas, TX

NPI 1003007022 Individual Female Years of Experience 21 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About MAMTA GUPTA

Mamta Gupta is an internal medicine provider established in Dallas, Texas and her medical specialization is internal medicine with more than 21 years of experience. The NPI number of Mamta Gupta is 1003007022 and was assigned on August 2007. The practitioner's primary taxonomy code is 207R00000X with license number M7234 (TX). The provider is registered as an individual and her NPI record was last updated 4 years ago.

An internist like Dr. Mamta Gupta Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Mamta Gupta is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Mamta Gupta is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Baylor University Medical Center.

NPI

1003007022

Provider NameDR. MAMTA GUPTA MD
Provider Location Address3600 GASTON AVE SUITE 550 DALLAS, TX 75246
Provider Mailing Address3600 GASTON AVE STE 550 DALLAS, TX 75246
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2001
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-06-2007
Last Update Date10-26-2017


Primary Taxonomy

Taxonomy Code207R00000X
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.

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



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5193808087
PECOS Enrollment IDI20080215000327
Accepts Medicare Assignment? Yes "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.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mamta Gupta is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BAYLOR UNIVERSITY MEDICAL CENTER3500 GASTON AVE
DALLAS, TX 75246
(214) 820-0111Acute Care Hospitals450021

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

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1043215429 NORMAN SLUSHER M.D.
Individual
Ophthalmology3600 GASTON AVE STE 964
DALLAS, TX 75246
(214) 826-7470
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
1871598466HEALTHTEXAS PROVIDER NETWORK - CARDIO-THORACIC SERVICES LLP
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)3600 GASTON AVE STE 404
DALLAS, TX 75246
(214) 827-3890
1437154077HEALTHTEXAS PROVIDER NETWORK-NEUROSURGICAL ASSOCIATES, LLP
Organization
Neurological Surgery3600 GASTON AVE STE 1158-WADLEY
DALLAS, TX 75246
(214) 820-8585
1144226218HEALTHTEXAS PROVIDER NETWORK-ORTHOPEDIC SERVICES, LLP
Organization
Orthopaedic Surgery3600 GASTON AVE STE 1101
DALLAS, TX 75246
(214) 820-8350
1376541193HEALTHTEXAS PROVIDER NETWORK
Organization
Orthopaedic Surgery3600 GASTON AVE SUITE 1101
DALLAS, TX 75246
(214) 820-7010
1154322386DR. KENNETH A AUSLOOS M. D.
Individual
Internal Medicine (Pulmonary Disease)3600 GASTON AVE
DALLAS, TX 75246
(214) 824-8521
1295736437DR. JOHN MICHAEL JORDAN M.D.
Individual
Internal Medicine (Pulmonary Disease)3600 GASTON AVE SUITE 806
DALLAS, TX 75246
(214) 824-8521
1225028988 ANNAH M KING OTR/L, CHT
Individual
Specialist3600 GASTON AVE SUITE 450
DALLAS, TX 75246
(214) 823-5351
1174508311DR. MARYAM ZAMANIAN MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)3600 GASTON AVE SUITE 454
DALLAS, TX 75246
(214) 820-8940
1588642268DR. PHILIP BRADLEY HALLORAN MD
Individual
Surgery3600 GASTON AVE SUITE 701
DALLAS, TX 75246
(214) 823-6340
1841279791 JOHN EDWARD CAPEHART MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)3600 GASTON AVE STE 404 BARNETT TOWER
DALLAS, TX 75246
(214) 824-6718
1790756369DR. CAROL FAITH ADAIR M.D.
Individual
Pathology (Anatomic Pathology)3600 GASTON AVE SUITE 261 WADLEY TOWER
DALLAS, TX 75246
(214) 818-9100
1316912876 TROY W SCOTT M.D.
Individual
Specialist3600 GASTON AVE BARNETT TOWER SUITE 906
DALLAS, TX 75246
(214) 824-8310
1396710224DR. BRUCE ALLEN SMITH M.D.
Individual
Surgery3600 GASTON AVE STE. 710
DALLAS, TX 75246
(214) 827-5820
1982666434PHILIP L KELTON JR MD PA
Organization
Surgery (Plastic and Reconstructive Surgery)3600 GASTON AVE WADLEY TOWER SUITE 1054
DALLAS, TX 75246
(214) 826-8950
1144282211ERIK FETNER, M.D., P.A.
Organization
Colon & Rectal Surgery3600 GASTON AVE SUITE 1209
DALLAS, TX 75246
(214) 824-2573
1720045479DR. FREDERICK C. LESTER M.D.
Individual
Plastic Surgery3600 GASTON AVE #751
DALLAS, TX 75246
(214) 821-6580
1013975176 DAVID TAYLOR
Individual
Specialist3600 GASTON AVE SUITE 458
DALLAS, TX 75246
(214) 823-3571
1801854187DR. SAMUEL PHILIP MARYNICK M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)3600 GASTON AVE SUITE 506 BARNETT TOWER
DALLAS, TX 75246
(214) 828-2444

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.