| Ashutosh Gupta, MD | |
|
1417 S. Cliff Ave, Ste 010, Sioux Falls, SD 57105-1014 | |
| (605) 322-3666 | |
| (605) 322-3665 |
| Full Name | Ashutosh Gupta |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Endocrinology |
| Location | 1417 S. Cliff Ave, Sioux Falls, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114993680 | NPI | - | NPPES |
| 2277812 | Other | SD | ARAZ/ AMERICA'S PPO |
| 370624200 | Other | SD | DEPT OF LABOR |
| 486T4GU | Other | MN | CC SYSTEMS/ BLUE PLUS |
| 722801041579 | Other | SD | PREFERRED ONE |
| 000080878 | Other | MN | PRIMEWEST |
| 243254 | Other | SD | MIDLANDS CHOICE |
| 4995353 | Other | SD | BLUE CROSS |
| 57105I009 | Other | SD | WPS TRICARE |
| HP43044 | Other | SD | HEALTHPARTNERS |
| 6004860 | Medicaid | SD | |
| 13414 | Medicaid | ND | |
| 5374 | Other | SD | DAKOTACARE |
| 0581785 | Medicaid | IA | |
| 486T4GU | Other | MN | BLUE CROSS |
| 1202972 | Other | SD | MEDICA |
| 36795 | Other | SD | SANFORD HEALTH PLAN |
| 684477400 | Medicaid | MN | |
| 46022474339 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0205X | Pediatrics - Pediatric Endocrinology | 5374 (South Dakota) | Primary |
| Entity Name | Avera St Marys |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashutosh Gupta, MD Po Box 86370, Sioux Falls, SD 57118-6370 Ph: (605) 322-7510 | Ashutosh Gupta, MD 1417 S. Cliff Ave, Ste 010, Sioux Falls, SD 57105-1014 Ph: (605) 322-3666 |
Dr. Shari L Eich, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 S Marion Rd, Sioux Falls, SD 57106 Phone: 605-322-1010 Fax: 605-322-1011 | |
Michael Elliott, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 S 7th Ave, Ste 2, Sioux Falls, SD 57105 Phone: 605-336-2140 | |
Brock J Doubledee, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 W 22nd, Sioux Falls, SD 57105 Phone: 605-312-1000 Fax: 605-312-1001 | |
Katherine Wang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1325 S Cliff Ave, Sioux Falls, SD 57105 Phone: 605-322-4425 Fax: 605-322-4499 | |
Kayelyn J. Wagner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 W 22nd St, Sioux Falls, SD 57105 Phone: 605-312-1000 Fax: 605-312-1001 | |
Gulsah Olgun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 S Grange Ave Ste 307, Sioux Falls, SD 57105 Phone: 605-328-7800 Fax: 605-328-7899 | |
Mrs. Katie Elizabeth Larson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1205 S Grange Ave, Suite 307, Sioux Falls, SD 57105 Phone: 605-328-7800 Fax: 605-328-7899 |