ANIL GUPTA MD - NPI 1154325694 - Allergy & Immunology in Bronx, NY

Q: What is Anil Gupta's NPI number?

The NPI number for Anil Gupta is 1154325694. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Q: What is Anil Gupta's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Q: When was this NPI record last updated?

The NPPES record for Anil Gupta was last updated on September 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Anil Gupta Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANIL GUPTA MD (NPI 1154325694) is an individual allergy & immunology provider in Bronx, New York, licensed in New York (174785) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1154325694

Entity TypeIndividualMale

Primary Taxonomy207K00000X

Provider Legal NameANIL GUPTACredential: MD

Location Address1624 CROSBY AVEBronx, NY 10461-5201

Mailing Address1624 Crosby AveBronx, NY 10461-5201 · (718) 822-0676 · Fax (718) 822-6516

Phone(718) 822-0676

Fax(718) 822-6516

Sole ProprietorYes

Medical School CMSOtherGraduated 1979

Enumeration DateJune 13, 2005

Last NPPES UpdateSeptember 15, 2015

✔ NPI 1154325694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

License✔ Licensed in NY · 174785

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Also ListedPediatricsTaxonomy 208000000X · License 174785 (NY)

Also ListedPediatrics · Pediatric Allergy/ImmunologyTaxonomy 2080P0201X · License 174785 (NY)

1624 CROSBY AVE, Bronx, NY 10461

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Secondary Practice Location 1

Location 1315 White Plains RdBronx, NY 10473-2439 · Phone (718) 842-3812 · Fax (718) 822-6516

Other Identifiers 18

Other60402281NY · Fidelis (allergy)

OtherGP258Oxford

Other0015730NM · Ghi

Other1000001124NM · Affinity (allergy)

Other316770102NY · Healthplus (crosby)

Other119283NY · Wellcare (allergy)

Other2C3324NM · Healthnet

Other4132111NY · Aetna Ushc

Other316710101NY · Healthplus (peds/randall)

Medicare UPIND92246

Medicare ID-Type Unspecified16F731

Medicaid01136034NY

Other11373PNM · Hip

Other12-02734NY · United Healthcare

Other29747PNY · Hip (randall Avenue)

Other54940CNY · Cigna

Other60402280NY · Fidelis (peds/randall)

Other6040228CNY · Fidelis (peds/crosby)

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anil Gupta Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608069802

PECOS Enrollment IDI20101020000908

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANIL GUPTA,M.D.,P.C.

Pediatrics