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

Individual provider Internal Medicine Physician · NPI 1417365503

Dr. Pratishtha Gupta, MD is an Internal Medicine in Syracuse, New York. Qualified in 2012, 14 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in Delaware, New York and Oregon.

Years since qualifying
14
Licensed in
DE, NY, OR
In the registry since
2014
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

750 E Adams St
Syracuse, NY 13210-2306
Phone: (315) 464-5910
Fax: (315) 464-1937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 302366 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence C1-0013111 (DE)
Hospitalist Physician Taxonomy 208M00000X · Licence C1-0013111 (DE)
Hospitalist Physician Taxonomy 208M00000X · Licence MD175833 (OR)

Record details

NPI number1417365503
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 1, 2014
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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