Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Anjali Gupta, MD

Nephrology Physician in Roseburg, OR · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104074715

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Registry record

Entity type Individual (Type 1)

Name Anjali Gupta

Credential MD

Sex Female

Practice address 2460 Nw Stewart Pkwy, Suite 102, Roseburg, OR, 97471

Phone (541) 677-2494

Enumeration date Sep 8, 2008

Last updated in NPPES Nov 10, 2021

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License MD61204532 (WA) Secondary

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians · License MD61204532 (WA) Primary

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians · License MD167029 (OR) Secondary

208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians · License 61-003355 (NY) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
03126478	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1104074715 active?

Yes, as of the latest NPPES snapshot, NPI 1104074715 is active (record last updated 2021-11-10).

How do I verify Anjali Gupta's NPI record?

Cross-check NPI 1104074715 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-10.