Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anjali Gupta, MD

Individual provider Internal Medicine Physician · NPI 1104074715

Anjali Gupta, MD is a Nephrology in Roseburg, Oregon. Qualified in 2004, 22 years ago. Practices with Peacehealth, a 248-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York, Oregon and Washington.

Years since qualifying
22
Licensed in
NY, OR, WA
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2460 NW Stewart Pkwy Ste 102
Roseburg, OR 97471-1516
Phone: (541) 677-2494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 505 Ne 87th Ave Ste 460, Vancouver, WA 98664-1965 — (360) 514-2470

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MD61204532 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD61204532 (WA)
Nephrology Physician Taxonomy 207RN0300X · Licence MD167029 (OR)
Hospitalist Physician Taxonomy 208M00000X · Licence 61-003355 (NY)

Record details

NPI number1104074715
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 8, 2008
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021
Mailing address2460 Nw Stewart Pkwy, Suite 102, Roseburg, OR 97471-1516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Peacehealth — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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