ARUSHA GUPTA M.D. NPI 1003007816

Ophthalmology in Silver Spring, MD

NPI 1003007816 Individual Female Years of Experience 16 Ophthalmology PECOS Enrolled Accepts Medicare Approved Payment

About ARUSHA GUPTA

Arusha Gupta is a provider established in Silver Spring, Maryland and her medical specialization is ophthalmology with more than 16 years of experience. The NPI number of Arusha Gupta is 1003007816 and was assigned on August 2007. The practitioner's primary taxonomy code is 207W00000X with license number D70515 (MD). The provider is registered as an individual and her NPI record was last updated 10 years ago.

Arusha Gupta is enrolled in PECOS and is eligible to order or refer healthcare 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

Arusha 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.

NPI

1003007816

Provider Name ARUSHA GUPTA M.D.
Provider Location Address8630 FENTON ST SUITE 514 SILVER SPRING, MD 20910
Provider Mailing Address8630 FENTON ST SUITE 514 SILVER SPRING, MD 20910
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2006
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-06-2007
Last Update Date11-29-2011


Primary Taxonomy

Taxonomy Code207W00000X
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
License No.D70515
License StateMD
Taxonomy DescriptionAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Business Address

ARUSHA GUPTA M.D.
8630 FENTON ST
SUITE 514
SILVER SPRING, MD
ZIP 20910
Phone: (301) 587-1220

Get Directions


Mailing Address

ARUSHA GUPTA M.D.
8630 FENTON ST
SUITE 514
SILVER SPRING, MD
ZIP 20910
Phone: (301) 587-1220



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9638201171
PECOS Enrollment IDI20120117000238
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 539Photography of the retina (HCPCS:92250)
  • 534Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 224Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • 209Measurement of field of vision during daylight conditions (HCPCS:92083)
  • 197Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • 101Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • 41Diagnostic imaging of retina (HCPCS:92134)

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
1207W00000XAllopathic & Osteopathic PhysiciansOphthalmology245090NYNo

Taxonomy Description: an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
032987800MEDICAID (05)MD
182574YYUMEDICARE PIN (08)MD

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497751531DR. GARY LUCOMBE DDS
Individual
Dentist (General Practice)8630 FENTON ST STE 204
SILVER SPRING, MD 20910
(301) 587-8081
1912905266DR. PURNIMA SAU M.D.
Individual
Dermatology (Dermatopathology)8630 FENTON ST SUITE 906
SILVER SPRING, MD 20910
(301) 565-3699
1548253289DR. JOSEPH SNYDER M.D.
Individual
Ophthalmology8630 FENTON ST 608
SILVER SPRING, MD 20910
(301) 585-4931
1720076904 JOEL M ENGELSTEIN M.D.
Individual
Ophthalmology8630 FENTON ST SUITE 130
SILVER SPRING, MD 20910
(301) 588-1177
1326036401 HAROLD I. RODMAN M.D.
Individual
Ophthalmology8630 FENTON ST SUITE 130
SILVER SPRING, MD 20910
(301) 588-1177
1902879430STEPHEN PARK, D.D.S.
Organization
Dentist (General Practice)8630 FENTON ST #928
SILVER SPRING, MD 20910
(301) 587-2800
1790741759MONTGOMERY INFECTIOUS DISEASE ASSOCIATES,PA
Organization
Internal Medicine (Infectious Disease)8630 FENTON ST SUITE 700
SILVER SPRING, MD 20910
(301) 588-2525
1285683441 JULIE G GUTMARK M.D.
Individual
Ophthalmology8630 FENTON ST SUITE 130
SILVER SPRING, MD 20910
(301) 588-1177
1447289558DR. RANDI JEAN WORTMAN PH.D.
Individual
Psychologist8630 FENTON ST SUITE 320
SILVER SPRING, MD 20910
(301) 661-3302
1467536235MRS. OLUSOLA ADEDEJI MS, RD, LD, LN
Individual
Nutritionist8630 FENTON ST SUITE 934
SILVER SPRING, MD 20910
(301) 588-4440
1497834097 NEGIN MOAZAMI D.D.S.
Individual
Dentist (General Practice)8630 FENTON ST SUITE #902
SILVER SPRING, MD 20910
(301) 589-1143
1164594453HAROLD I. RODMAN, M.D. & JOEL M. ENGELSTEIN. M.D.
Organization
Ophthalmology8630 FENTON ST SUITE 130
SILVER SPRING, MD 20910
(301) 588-1177
1154479657OPTICAL SHOP
Organization
Technician/Technologist (Optician)8630 FENTON ST SUITE 123
SILVER SPRING, MD 20910
(301) 589-7732
1720133705 FRANK TRINH M.D.
Individual
Internal Medicine (Infectious Disease)8630 FENTON ST SUITE 700
SILVER SPRING, MD 20910
(301) 588-3322
1740323369DR. DENISE A TAYLOR SHAW DDS
Individual
Dentist (General Practice)8630 FENTON ST SUITE # 210
SILVER SPRING, MD 20910
(301) 589-8110
1619009198DR. RAYMOND B. VAN GENNIP DDS, MSD
Individual
Dentist (Periodontics)8630 FENTON ST SUITE 212
SILVER SPRING, MD 20910
(301) 565-8030
1194940775DR. MEREDITH DRAPKIN LUNDERGAN MD
Individual
Psychiatry & Neurology (Psychiatry)8630 FENTON ST SUITE 612
SILVER SPRINGS, MD 20910
(301) 585-1703
1063630457TAYLOR AND OSTERMAN, PA
Organization
Podiatrist8630 FENTON ST SUITE 1
SILVER SPRING, MD 20910
(301) 587-5666
1518176254DENISE TAYLOR-SHAW DDS PA
Organization
Dentist8630 FENTON ST SUITE 210
SILVER SPRING, MD 20910
(301) 589-8110
1417154386 PAMELA CRUTCHFIELD R.N.
Individual
Registered Nurse8630 FENTON ST SUITE 222
SILVER SPRING, MD 20910
(301) 565-7890

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.