DR. MAMTA GUPTA MD NPI 1003007022
Internal Medicine in Dallas, TX
About DR. MAMTA GUPTA MD
Mamta Gupta is an internist established in Dallas, Texas and her medical specialization is Internal Medicine with more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1003007022 and was assigned on August 2007. The practitioner's primary taxonomy code is 207R00000X with license number M7234 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.
| NPI | 1003007022 |
| Provider Name | DR. MAMTA GUPTA MD |
| Location Address | 3600 GASTON AVE SUITE 550 DALLAS, TX 75246 |
| Location Phone | (214) 821-8867 |
| Mailing Address | 3600 GASTON AVE STE 550 DALLAS, TX 75246 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2001 |
| Is Sole Proprietor? | No |
| Enumeration Date | 08-06-2007 |
| Last Update Date | 03-31-2022 |
An internist like Mamta Gupta is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Mamta Gupta is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Mamta Gupta is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Baylor University Medical Center.
The typical physician office visit costs for Medicare beneficiaries in this area are: $34.04 for a new patient copayment and $26.41 for an established patient copayment.
Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207R00000X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | M7234 |
| License State | TX |
| Taxonomy Description | A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Blue Cross Blue Shield
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
3600 GASTON AVE
SUITE 550
DALLAS, TX
ZIP 75246
Phone: (214) 821-8867
Fax: (214) 821-1193
Mailing Address
3600 GASTON AVE STE 550
DALLAS, TX
ZIP 75246
Phone: (214) 821-1177
Fax: (214) 821-1193
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 5193808087 |
| PECOS Enrollment ID | I20080215000327 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 75246 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $59.43 | $179.71 | $136.17 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.85 | $44.92 | $34.04 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.75 | $147.31 | $105.64 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.68 | $36.82 | $26.41 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mamta Gupta is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | 3500 GASTON AVE DALLAS, TX 75246 | (214) 820-0111 | Acute Care Hospitals | 450021 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | No | |||
Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. | |||||||
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8AL361 | OTHER (01) | TX | BCBS |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 0 | 7 | 0 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 14 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 0 + 1 + 4 + 0 + 4 + 24 = 38 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 38 = 2 | 2 | ||||||||
The NPI number 1003007022 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1043215429 | NORMAN SLUSHER M.D. Individual | Ophthalmology | 3600 GASTON AVE STE 964 DALLAS, TX 75246 (214) 826-7470 |
| 1508861527 | DR. GEORGE JACKSON SNIPES JR. M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 3600 GASTON AVE WADLEY TOWER, #261 DALLAS, TX 75246 (214) 823-6492 |
| 1871598466 | HEALTHTEXAS PROVIDER NETWORK - CARDIO-THORACIC SERVICES LLP Organization | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3600 GASTON AVE STE 404 DALLAS, TX 75246 (214) 827-3890 |
| 1437154077 | HEALTHTEXAS PROVIDER NETWORK-NEUROSURGICAL ASSOCIATES, LLP Organization | Neurological Surgery | 3600 GASTON AVE STE 1158-WADLEY DALLAS, TX 75246 (214) 820-8585 |
| 1144226218 | HEALTHTEXAS PROVIDER NETWORK-ORTHOPEDIC SERVICES, LLP Organization | Orthopaedic Surgery | 3600 GASTON AVE STE 1101 DALLAS, TX 75246 (214) 820-8350 |
| 1376541193 | HEALTHTEXAS PROVIDER NETWORK Organization | Orthopaedic Surgery | 3600 GASTON AVE SUITE 1101 DALLAS, TX 75246 (214) 820-7010 |
| 1295736437 | DR. JOHN MICHAEL JORDAN M.D. Individual | Internal Medicine (Pulmonary Disease) | 3600 GASTON AVE SUITE 806 DALLAS, TX 75246 (214) 824-8521 |
| 1225028988 | ANNAH M KING OTR/L, CHT Individual | Specialist | 3600 GASTON AVE SUITE 450 DALLAS, TX 75246 (214) 823-5351 |
| 1174508311 | DR. MARYAM ZAMANIAN MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 3600 GASTON AVE SUITE 454 DALLAS, TX 75246 (214) 820-8940 |
| 1841279791 | JOHN EDWARD CAPEHART MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3600 GASTON AVE STE 404 BARNETT TOWER DALLAS, TX 75246 (214) 824-6718 |
| 1790756369 | DR. CAROL FAITH ADAIR M.D. Individual | Pathology (Anatomic Pathology) | 3600 GASTON AVE SUITE 261 WADLEY TOWER DALLAS, TX 75246 (214) 818-9100 |
| 1316912876 | TROY W SCOTT M.D. Individual | Specialist | 3600 GASTON AVE BARNETT TOWER SUITE 906 DALLAS, TX 75246 (214) 824-8310 |
| 1396710224 | DR. BRUCE ALLEN SMITH M.D. Individual | Surgery | 3600 GASTON AVE STE. 710 DALLAS, TX 75246 (214) 827-5820 |
| 1982666434 | PHILIP L KELTON JR MD PA Organization | Surgery (Plastic and Reconstructive Surgery) | 3600 GASTON AVE WADLEY TOWER SUITE 1054 DALLAS, TX 75246 (214) 826-8950 |
| 1144282211 | ERIK FETNER, M.D., P.A. Organization | Colon & Rectal Surgery | 3600 GASTON AVE SUITE 1209 DALLAS, TX 75246 (214) 824-2573 |
| 1720045479 | DR. FREDERICK C. LESTER M.D. Individual | Plastic Surgery | 3600 GASTON AVE #751 DALLAS, TX 75246 (214) 821-6580 |
| 1013975176 | DAVID TAYLOR Individual | Specialist | 3600 GASTON AVE SUITE 458 DALLAS, TX 75246 (214) 823-3571 |
| 1801854187 | DR. SAMUEL PHILIP MARYNICK M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 3600 GASTON AVE SUITE 506 BARNETT TOWER DALLAS, TX 75246 (214) 828-2444 |
| 1487612156 | DR. JAVED GILL MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 3600 GASTON AVE WADLEY TOWER, #261 DALLAS, TX 75246 (214) 823-6492 |
| 1851359079 | DR. MICHAEL S MILNER M.D. Individual | Ophthalmology | 3600 GASTON AVE STE. 609 LB120 DALLAS, TX 75246 (214) 826-8201 |
Frequently Asked Questions
What is Dr. Mamta Gupta MD NPI number?
The NPI number assigned to this healthcare provider is 1003007022, registered as an "individual" on August 06, 2007
Where is the provider located?
The provider is located at 3600 Gaston Ave Suite 550 Dallas, Tx 75246 and the phone number is (214) 821-8867
What is the provider specialty code?
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
How many years of experience does Dr. Mamta Gupta MD have?
The provider has more than 23 years of experience.
What insurance does Dr. Mamta Gupta MD accept?
The provider might be accepting Blue Cross Blue Shield, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Mamta Gupta MD registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. Mamta Gupta MD?
Medicare beneficiaries should expect a typical cost of $136.17 with an average copayment of $34.04 for new patient appointments. Established patients should expect a typical charge of $105.64 and an average copayment of 26.41. Please review your insurance plan or contact the provider directly to determine your specific costs.
Is Dr. Mamta Gupta MD affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: BAYLOR UNIVERSITY MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
This NPI record was last updated on August 06, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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