| Parul Gupta, MD | |
|
1702 University Dr S, Fargo, ND 58103-4940 | |
| (701) 364-3300 | |
| (701) 364-8906 |
| Full Name | Parul Gupta |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | 1702 University Dr S, Fargo, North Dakota |
| 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 |
|---|---|---|---|
| 1669483038 | NPI | - | NPPES |
| 15952 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 9270 (North Dakota) | Secondary |
| 207R00000X | Internal Medicine | 9270 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of Red River Valley | Fargo, ND | Hospice |
| Essentia Health | Fargo, ND | Hospital |
| Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
| Bethany On University | Fargo, ND | Nursing home |
| Bethany On 42nd | Fargo, ND | Nursing home |
| Eventide At Sheyenne Crossings | West fargo, ND | Nursing home |
| Eventide Fargo | Fargo, ND | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innovis Health Llc | 9931298155 | 509 |
| Bridges Medical Center | 4981659851 | 11 |
| Bridges Medical Center | 4981659851 | 11 |
| Entity Name | Innovis Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Parul Gupta, MD 400 E Third Street Mcl2cred, Duluth, MN 55805-1951 Ph: (217) 786-8319 | Parul Gupta, MD 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-3300 |
Abdallah M Mansour, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900 | |
Gerald G Gross, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161 | |
Paul James Carson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979 | |
Howard L Russell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 N 4th St, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-3861 | |
Stephen John Lee, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2101 Elm Street N, Fargo, ND 58102 Phone: 701-239-3700 | |
Dr. Emuejevoke Joseph Okoh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Devendranath Reddy Mannuru, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 218-786-8364 |