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

Kamini Gupta

Individual provider Family Medicine Physician · NPI 1689092884

Kamini Gupta is a Family Practice in Orwigsburg, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Phoenix Rehabilitation and Health Services Inc, a 2,720-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

300 Hollywood Blvd
Orwigsburg, PA 17961-2426
Phone: (570) 366-1557
Fax: (570) 366-3981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 — (570) 808-7300

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD462329 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 390200000 (PA)

Record details

NPI number1689092884
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2014
Last updated in NPPESAugust 26, 2020
Certification dateAugust 26, 2020
Mailing address100 N Academy Ave, Danville, PA 17822-4903

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Phoenix Rehabilitation And Health Services Inc — 2720 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Orwigsburg