| Garima Gupta, MD | |
|
11104 Parkview Circle Dr Ste 330, Fort Wayne, IN 46845-1674 | |
| (260) 471-5114 | |
| (260) 417-5507 |
| Full Name | Garima Gupta |
|---|---|
| Gender | Female |
| Speciality | Nephrology |
| Experience | 31 Years |
| Location | 11104 Parkview Circle Dr Ste 330, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073729125 | NPI | - | NPPES |
| 3002762 | Medicaid | OH | |
| 00246075 | Medicaid | NY | |
| 200945110 | Other | IN | MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 35.098119 (Ohio) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 01066542A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc - Regional Dialysis Ctr Of Williams County | Bryan, OH | Dialysis facility |
| Davita - Fort Wayne South | Fort wayne, IN | Dialysis facility |
| Davita - Fort Wayne West | Fort wayne, IN | Dialysis facility |
| Davita - Appleseed | Fort wayne, IN | Dialysis facility |
| Randolph Dialysis, Llc | Fort wayne, IN | Dialysis facility |
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Marion General Hospital | Marion, IN | Hospital |
| Community Hospitals And Wellness Centers | Bryan, OH | Hospital |
| Parkview Wabash Hospital, Inc | Wabash, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nephrology Associates Of Northern Indiana Pc | 8921033440 | 69 |
| Nephrology Associates Of Northern Indiana Pc | 8921033440 | 69 |
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Entity Name | Nephrology Associates Of Northern Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578505814 PECOS PAC ID: 8921033440 Enrollment ID: O20051003000799 |
| Entity Name | Nephrology Associates Of Northern Illinois Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124069182 PECOS PAC ID: 2163328675 Enrollment ID: O20170705000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Garima Gupta, MD 120 W 22nd St, Oak Brook, IL 60523-1557 Ph: () - | Garima Gupta, MD 11104 Parkview Circle Dr Ste 330, Fort Wayne, IN 46845-1674 Ph: (260) 471-5114 |
Dr. Dustin M Thomas, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910 | |
Ahmad Alhariri, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020 | |
Dr. Anuradha G Bommakanti, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 | |
Eileen Jill Ramos Muzzillo, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605 | |
John T Ducker, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188 | |
Mr. Kenneth A Smith, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255 | |
Dr. Carl Marc Williams, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740 |