VISHAAL GUPTA (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1245894955

VISHAAL GUPTA (MD) is a healthcare provider. based in Dothan, Alabama. specializing in ENDOCRINOLOGY. They hold the professional credentials MD. They hold a License No. MD488858 (PA). The NPI Number for VISHAAL GUPTA (MD) is 1245894955

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
VISHAAL GUPTA (MD)
NPI
1245894955
Phone
(334) 712-3329
Address
1108 ROSS CLARK CIR STE 210
Enumeration Date
28 April 2019
Last Update Date
17 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5702075970
Graduation Year
2017 (9 years ago)
PAC ID
6002323524
Group Practice PAC ID
5395657001
Professional Enrollment ID
I20250729004481
Address ID
PA185082572SC3XXXXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

106 ENDOCRINOLOGY in AL

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Provider Addresses for VISHAAL GUPTA (MD)

  • 210, Ross Clark Circle, Dothan, Houston County, Alabama, 36303, United States

    DOTHAN, AL 363013022

    Phone: (334) 712-3329

    Type: Mailing

  • 100 N ACADEMY AVE

    DANVILLE, PA 178224903

    Phone: (570) 207-6300

    Fax: (570) 207-6290

    Type: Mailing

  • 3 W OLIVE ST

    SCRANTON, PA 185082572

    Phone: (570) 207-6300

    Fax: (570) 207-6290

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $223.

Total Amount is formed as General ($223) + Research ($0) + Ownership ($0) = $223.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($46).

Total Amount

$223

General + Research + Ownership

Payments

11

Total payment records

General Amount

$223

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250729004481IEndocrinologyPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395657001View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for VISHAAL GUPTA (MD)?
VISHAAL GUPTA (MD) — NPI 1245894955 — is the standard way to identify this listing.
Can I rely on VISHAAL GUPTA (MD) being an active provider?
As of the registry snapshot, VISHAAL GUPTA (MD) is marked active.
What taxonomy line describes VISHAAL GUPTA (MD)?
For research purposes, treat VISHAAL GUPTA (MD) as Endocrinology, Diabetes & Metabolism Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for VISHAAL GUPTA (MD)?
VISHAAL GUPTA (MD)'s geographic hint is Dothan, Alabama in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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