DR. KUNAL GUPTA M.D.,,M.B.A
NPI 1023256567
Internal Medicine - Gastroenterology in Freehold, NJ

Active since January 21, 2009PECOS EnrolledAccepts Medicare Assignment
97.45/100
CMS Quality Rating
222 SCHANCK RD, SUITE 302, FREEHOLD, NJ 07728(732) 577-1999(732) 845-5356 Get Directions Write a Review

NPPES record last updated: March 25, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kunal Gupta M.d.,,m.b.a NPPES

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

DR. KUNAL GUPTA M.D.,,M.B.A (NPI 1023256567) is an individual gastroenterology provider in Freehold, New Jersey, licensed in New Jersey (25MA09114000) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Centrastate Medical Center, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2006).

NPPES Registry Identity

NPI1023256567
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. KUNAL GUPTACredential: M.D.,,M.B.A
Location Address222 SCHANCK RD, SUITE 302Freehold, NJ 07728-3068
Mailing Address222 Schanck Rd, Suite 302Freehold, NJ 07728-3068 · (732) 577-1999 · Fax (732) 845-5356
Fax(732) 845-5356
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2006
Enumeration DateJanuary 21, 2009
Last NPPES UpdateMarch 25, 2014
NPI 1023256567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NJ · 25MA09114000
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.

222 SCHANCK RD, Freehold, NJ 07728

Other Identifiers 2

Other1023256567Npi
Other240774NJ · Nj Medicare

Accepted 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. Kunal Gupta M.d.,,m.b.a 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 ID6507020823
PECOS Enrollment IDI20120615000424
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 23

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.
234 services185 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.
186 services125 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.
142 services140 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
135 services133 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.
90 services89 patients
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.
83 services73 patients

Hospital Affiliations CMS Care Compare 2

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

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

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.

Specialist
222 SCHANCK RD, STE 302
FREEHOLD, NJ 07728
Specialist
222 SCHANCK RD, STE 302
FREEHOLD, NJ 07728
Pediatrics
222 SCHANCK RD
FREEHOLD, NJ 07728
Pediatrics
222 SCHANCK RD
FREEHOLD, NJ 07728
Pediatrics
222 SCHANCK RD
FREEHOLD, NJ 07728
Internal Medicine (Gastroenterology)
222 SCHANCK RD, SUITE 302
FREEHOLD, NJ 07728
Pediatrics
222 SCHANCK RD
FREEHOLD, NJ 07728
Physical Therapist
222 SCHANCK RD, SUITE 301
FREEHOLD, NJ 07728

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 Kunal Gupta's NPI number?

The NPI number for Kunal Gupta is 1023256567. It was assigned to this individual provider in the NPPES registry on January 21, 2009.

Where is Kunal Gupta located?

Kunal Gupta practices at 222 Schanck Rd Suite 302, Freehold, NJ 07728. The listed phone number is (732) 577-1999.

What is Kunal Gupta's specialty?

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

Is Kunal Gupta enrolled in Medicare?

Yes. Kunal 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.

What insurance does Kunal Gupta accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kunal Gupta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kunal Gupta affiliated with any hospitals?

According to CMS data, Kunal Gupta is affiliated with Centrastate Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Kunal Gupta was last updated on March 25, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.