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

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