ASHUTOSH GUPTA M.D. NPI 1114993680

NPI Information

NPI: 1114993680
Provider Name: ASHUTOSH GUPTA, M.D.
Classification: Pediatrics - 2080P0205X
Entity Type: Individual

Specialization: Pediatric Endocrinology

PECOS Registration: Yes

Address:
1417 S. CLIFF AVE
STE 010
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-3666
Get Directions

Ashutosh Gupta, M.D. is a pediatric endocrinology pediatrics in Sioux Falls, SD. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. Ashutosh Gupta, M.D. NPI is 1114993680. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1417 S. CLIFF AVE
STE 010
SIOUX FALLS, SD
ZIP 57105-014
Phone: (605) 322-3666
Fax: (605) 322-3665

The NPI 1114993680 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/24/2006 and was last updated on 10/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0205X	Pediatrics	Pediatric Endocrinology	5374	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	722801041579	OTHER	SOUTH DAKOTA	PREFERRED ONE
2	486T4GU	OTHER	MINNESOTA	CC SYSTEMS/ BLUE PLUS
3	1202972	OTHER	SOUTH DAKOTA	MEDICA
4	486T4GU	OTHER	MINNESOTA	BLUE CROSS
5	5374	OTHER	SOUTH DAKOTA	DAKOTACARE
6	6004860	MEDICAID	SOUTH DAKOTA
7	370624200	OTHER	SOUTH DAKOTA	DEPT OF LABOR
8	HP43044	OTHER	SOUTH DAKOTA	HEALTHPARTNERS
9	0581785	MEDICAID	IOWA
10	4995353	OTHER	SOUTH DAKOTA	BLUE CROSS
11	243254	OTHER	SOUTH DAKOTA	MIDLANDS CHOICE
12	36795	OTHER	SOUTH DAKOTA	SANFORD HEALTH PLAN
13	57105I009	OTHER	SOUTH DAKOTA	WPS TRICARE
14	46022474339	MEDICAID	NEBRASKA
15	2277812	OTHER	SOUTH DAKOTA	ARAZ/ AMERICA'S PPO
16	000080878	OTHER	MINNESOTA	PRIMEWEST
17	13414	MEDICAID	NORTH DAKOTA
18	684477400	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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