DR. ANKUR GUPTA M.D. NPI 1003041088

Radiology (Diagnostic Radiology) in New York, NY

NPI 1003041088 Individual Male Years of Experience 18 Radiology Diagnostic Radiology PECOS Enrolled Accepts Medicare Approved Payment

About ANKUR GUPTA

Ankur Gupta is a provider established in New York, New York and his medical specialization is radiology (diagnostic radiology) with more than 18 years of experience. He graduated from New York University School Of Medicine in 2004. The NPI number of Ankur Gupta is 1003041088 and was assigned on May 2009. The practitioner's primary taxonomy code is 2085R0202X with license number 047725 (CT). The provider is registered as an individual and his NPI record was last updated 13 years ago.

Ankur 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

Ankur 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 he has hospital affiliations with Mercy Medical Center Inc.

NPI

1003041088

Provider NameDR. ANKUR GUPTA M.D.
Provider Location Address226 E 29TH ST APT 5D NEW YORK, NY 10016
Provider Mailing Address226 E 29TH ST APT 5D NEW YORK, NY 10016
GenderMale
NPI Entity TypeIndividual
Medical School NameNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2004
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-20-2009
Last Update Date05-20-2009


Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.047725
License StateCT
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

DR. ANKUR GUPTA M.D.
226 E 29TH ST
APT 5D
NEW YORK, NY
ZIP 10016
Phone: (646) 621-7240
Fax: (718) 343-7463

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Mailing Address

DR. ANKUR GUPTA M.D.
226 E 29TH ST
APT 5D
NEW YORK, NY
ZIP 10016
Phone: (646) 621-7240
Fax: (718) 343-7463



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 ID9436201654
PECOS Enrollment IDI20101116000431
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.

  • 390CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • 190X-ray of chest, 1 view, front (HCPCS:71010)
  • 126X-ray of knee, 3 views (HCPCS:73562)
  • 106X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 101Nuclear medicine study with CT imaging skull base to mid-thigh (HCPCS:78815)
  • 93X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 57X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 54X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 41Ultrasound pelvis through vagina (HCPCS:76830)
  • 37CT scan of abdomen and pelvis (HCPCS:74176)
  • 37X-ray of hand, minimum of 3 views (HCPCS:73130)
  • 34Ultrasound of head and neck (HCPCS:76536)
  • 30X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • 26X-ray of abdomen, single view (HCPCS:74000)
  • 25Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)

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. Ankur Gupta is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MERCY MEDICAL CENTER INC301 SAINT PAUL PLACE
BALTIMORE, MD 21202
(410) 332-9237Acute Care Hospitals210008

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.