DR. VIVEK KUMAR GUPTA MD
NPI 1003182734
Obstetrics & Gynecology - Maternal & Fetal Medicine in Winchester, VA

Q: What is Vivek Gupta's NPI number?

The NPI number for Vivek Gupta is 1003182734. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Q: What is Vivek Gupta's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Q: When was this NPI record last updated?

The NPPES record for Vivek Gupta was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 27, 2012PECOS EnrolledAccepts Medicare Assignment

1870 AMHERST ST STE 3A, WINCHESTER, VA 22601(540) 536-3228(540) 536-3227 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2021, Nov 7, 2019, Jul 31, 2019 and 2 more (5 updates tracked since 2016).

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About Dr. Vivek Kumar Gupta Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIVEK KUMAR GUPTA MD (NPI 1003182734) is an individual maternal & fetal medicine provider in Winchester, Virginia, licensed in Virginia (0101266595) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Francis Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003182734

Entity TypeIndividualMale

Primary Taxonomy207VM0101X

Provider Legal NameDR. VIVEK KUMAR GUPTACredential: MD

Location Address1870 AMHERST ST STE 3AWinchester, VA 22601-2841

Mailing Address220 Campus Blvd Ste 100Winchester, VA 22601-2888 · (540) 536-5100 · Fax (540) 536-0235

Phone(540) 536-3228

Fax(540) 536-3227

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 27, 2012

Last NPPES UpdateMay 1, 20255 updates tracked since enumeration

NPPES CertifiedMay 1, 2025

✔ NPI 1003182734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207VM0101X

Licenses✔ Licensed in VA · 0101266595✔ Licensed in WV · 29260

Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

1870 AMHERST ST STE 3A, Winchester, VA 22601

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Secondary Practice Locations 2

Location 11008 Tavern Rd Ste 202Martinsburg, WV 25401-2801 · Phone (540) 536-3228 · Fax (540) 536-3227

Location 2351 Valley Health Way Ste 200Front Royal, VA 22630-6480 · Phone (540) 631-3700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vivek Kumar Gupta Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840580957

PECOS Enrollment IDI20190618002591

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140080

Location355 Ridge AveEvanston, IL 60202 · Cook County

Emergency services

Winchester Medical Center

Acute Care Hospitals · Winchester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490005

Location1840 Amherst StWinchester, VA 22601 · Winchester City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MASARU NEGI M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)