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DR. NAVEEN GUPTA MD
NPI 1013015569
Internal Medicine - Critical Care Medicine in San Diego, CA

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
4520 EXECUTIVE DR, SAN DIEGO, CA 92121(800) 926-8273 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2024, Sep 28, 2018 (2 updates tracked since 2018).

About Dr. Naveen Gupta Md NPPES

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

DR. NAVEEN GUPTA MD (NPI 1013015569) is an individual critical care medicine provider in San Diego, California, licensed in California (A81440) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1013015569
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. NAVEEN GUPTACredential: MD
Location Address4520 EXECUTIVE DRSan Diego, CA 92121-3018
Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273
Phone(800) 926-8273
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJune 26, 20242 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1013015569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in CA · A81440
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License A81440 (CA)
4520 EXECUTIVE DR, San Diego, CA 92121
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 W Arbor DrSan Diego, CA 92103-9000 · Phone (800) 926-8273

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. Naveen 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 ID2769568922
PECOS Enrollment IDI20080327000787
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
237 services125 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
82 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
75 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
71 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers65 claims65 services$2.96 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
8 suppliers90 claims90 services$59.63 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
6 suppliers62 claims62 services$29.96 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
17 suppliers44 claims8,859 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
15 suppliers37 claims37 services$26.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

SHARAN NEIMAN PHARMD
Pharmacist
4520 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (925) 297-7254
DR. ERNEST WONG DDS
Dentist
4520 EXECUTIVE DR, SUITE 200
SAN DIEGO, CA 92121
San Diego County (858) 587-2828
ROYBAL MD CHEMICAL DEPENDENCE TREATMENT INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
4520 EXECUTIVE DR, SUITE 225
SAN DIEGO, CA 92121
San Diego County (858) 202-1822
INDRAJIT SENGUPTA PA-C
Physician Assistant (Medical)
4520 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (800) 926-8273
DR. ROBERT E KEARNEY MD
Surgery (Plastic and Reconstructive Surgery)
4520 EXECUTIVE DR, #150
SAN DIEGO, CA 92121
San Diego County (858) 677-9352
SUZANNE SMITH RD
Dietitian, Registered
4520 EXECUTIVE DR, SUITE PLAZA 1
SAN DIEGO, CA 92121
San Diego County (619) 543-3133
JOHN D ALEXANDER PT
Physical Therapist
4520 EXECUTIVE DR, STE 101
SAN DIEGO, CA 92121
San Diego County (858) 535-1894
MRS. ISIS BURAKOM RUTLEDGE LMT
Contractor
4520 EXECUTIVE DR, STE 225
SAN DIEGO, CA 92121
San Diego County (619) 323-4089

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Naveen Gupta's NPI number?

The NPI number for Naveen Gupta is 1013015569. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Naveen Gupta located?

Naveen Gupta practices at 4520 Executive Dr, San Diego, CA 92121. The listed phone number is (800) 926-8273.

What is Naveen Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Naveen Gupta enrolled in Medicare?

Yes. Naveen Gupta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Naveen Gupta was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.