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

Individual provider Family Medicine Physician · NPI 1043293996

Dr. Sameer Gupta, MD is a Family Practice in Saint Joseph, Missouri. Qualified in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Indiana and Missouri.

Years since qualifying
29
Licensed in
IN, MO
In the registry since
2005
Specialties on file
3
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

4906 Frederick Ave
Saint Joseph, MO 64506-3246
Phone: (816) 396-0245
Fax: (816) 817-5746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebology Physician (primary) Taxonomy 202K00000X · Licence 2005006001 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2005006001 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 01060297A (IN)

Record details

NPI number1043293996
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 23, 2005
Last updated in NPPESFebruary 28, 2018
Mailing address4906 Frederick Ave, Saint Joseph, MO 64506-3246

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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