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DR. ROM M GUPTA M.D.
NPI 1013992528
Internal Medicine - Gastroenterology in Fresh Meadows, NY

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
17660 UNION TPKE STE 350, FRESH MEADOWS, NY 11366(718) 521-6200 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2025, Nov 4, 2020 (2 updates tracked since 2020).

About Dr. Rom M Gupta M.d. NPPES

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

DR. ROM M GUPTA M.D. (NPI 1013992528) is an individual gastroenterology provider in Fresh Meadows, New York, licensed in New York (189770) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jamaica, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1013992528
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. ROM M GUPTACredential: M.D.
Location Address17660 UNION TPKE STE 350Fresh Meadows, NY 11366-1531
Mailing Address17561 Hillside Ave Ste 402Jamaica, NY 11432-5769 · (718) 291-0488 · Fax (718) 291-0888
Phone(718) 521-6200
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateDecember 7, 2005
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1013992528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 189770
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 189770 (NY)
17660 UNION TPKE STE 350, Fresh Meadows, NY 11366
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Secondary Practice Location 1

Location 117561 Hillside Ave Ste 402Jamaica, NY 11432-5769 · Phone (718) 291-0488 · Fax (718) 291-0888

Other Identifiers 1

Medicaid01417876NY

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. Rom M Gupta M.d. 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 ID4789689795
PECOS Enrollment IDI20060926000388
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 8

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
13 services13 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11366 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Other Providers at the Same Location NPPES 4

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

DR. SUMATHA CHANNAPATNA SURESH MD
Student in an Organized Health Care Education/Training Program
17660 UNION TPKE STE 350
FRESH MEADOWS, NY 11366
Queens County (718) 521-6200
CHRISTINA JULIANA ROBINSON MD
Family Medicine (Adult Medicine)
17660 UNION TPKE STE 350
FRESH MEADOWS, NY 11366
Queens County (718) 521-6200
KIERA LILIANNE GRASSI DNP
Student in an Organized Health Care Education/Training Program
17660 UNION TPKE STE 350
FRESH MEADOWS, NY 11366
Queens County (718) 521-6200
MICHELLE STEPHANIE SHEYMAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
17660 UNION TPKE STE 350
FRESH MEADOWS, NY 11366
Queens County (718) 521-6200

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 Rom Gupta's NPI number?

The NPI number for Rom Gupta is 1013992528. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Rom Gupta located?

Rom Gupta practices at 17660 Union Tpke Ste 350, Fresh Meadows, NY 11366. The listed phone number is (718) 521-6200.

What is Rom Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Rom Gupta enrolled in Medicare?

Yes. Rom 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 Rom Gupta was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.