| Dr Amit Gupta, MD | |
| 1100 Central Ave Se, Albuquerque, NM 87106-4930 | |
| (505) 841-1234 | |
| (510) 450-5853 | 
| Full Name | Dr Amit Gupta | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology - Pediatric Anesthesiology | 
| Location | 1100 Central Ave Se, Albuquerque, New Mexico | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1700840170 | NPI | - | NPPES | 
| 00A773290 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | MD2022-0063 (New Mexico) | Primary | 
| 207L00000X | Anesthesiology | A77329 (California) | Secondary | 
| Entity Name | Permanente Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 | 
| Entity Name | University Of California San Francisco | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 | 
| Entity Name | Childrens Anesthesia Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1265496756 PECOS PAC ID: 7012814320 Enrollment ID: O20031215001007 | 
| Entity Name | University Anesthesia Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1528137296 PECOS PAC ID: 2769370535 Enrollment ID: O20040304001219 | 
| Entity Name | Ucsf Medical Group Business Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Amit Gupta, MD Po Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Dr Amit Gupta, MD 1100 Central Ave Se, Albuquerque, NM 87106-4930 Ph: (505) 841-1234 | 
| Brian R Schwartz, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1-west Surge, 2701 Frontier Ne, Albuquerque, NM 87131 Phone: 505-272-2610 | |
| Eli Torgeson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Unm Hospital Anesthesiology, 2211 Lomas Blvd Ne, Albuquerque, NM 87131 Phone: 505-272-6225 | |
| Francisco Jaime,  Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-2610 Fax: 505-272-1300 | |
| Joseph J. Rossi Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106 Phone: 505-841-1234 Fax: 505-841-1956 | |
| Dr. Olajide Olanrewaju Kowe, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 587-220-0048 | |
| John Robert Thomas, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4250 Montgomery Blvd Ne Ste 6, Albuquerque, NM 87106 Phone: 505-308-3145 | |
| Dr. William Laing Johnson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4115 Montgomery Blvd Ne, Albuquerque, NM 87109 Phone: 505-881-0092 |