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ISHAAN GUPTA M.D.
NPI 1023458098
Internal Medicine in Baltimore, MD

Active since July 04, 2013PECOS Enrolled
74.39/100
CMS Quality Rating
5601 LOCH RAVEN BLVD, RMB 502, BALTIMORE, MD 21239(443) 444-4863(443) 444-4997 Get Directions Write a Review

NPPES record last updated: May 12, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ishaan Gupta M.d. NPPES

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

ISHAAN GUPTA M.D. (NPI 1023458098) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D81650) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Bayview Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1023458098
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameISHAAN GUPTACredential: M.D.
Location Address5601 LOCH RAVEN BLVD, RMB 502Baltimore, MD 21239-2945
Mailing Address5601 Loch Raven Blvd, Rmb 502Baltimore, MD 21239-2945 · (443) 444-4863 · Fax (443) 444-4997
Phone(443) 444-4863
Fax(443) 444-4997
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 4, 2013
Last NPPES UpdateMay 12, 2017
✔ NPI 1023458098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D81650
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5601 LOCH RAVEN BLVD, Baltimore, MD 21239
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Other Identifiers 1

Medicare PIN514487Y82MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ishaan Gupta M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436442373
PECOS Enrollment IDI20160729000535
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Ishaan Gupta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Johns Hopkins University
4.2 mi
Pediatric Allergy/Immunology
600 N WOLFE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
NPI 1023018413 (410) 933-1182
Johns Hopkins Community Physicians
4.2 mi
Internal Medicine
600 N WOLFE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, Maryland enrollment
  • 952 clinicians in this Medicare group
NPI 1124629837 (410) 502-2037
Johns Hopkins University
4.2 mi
Hospitalist
600 N WOLFE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, Maryland enrollment
  • 338 clinicians in this Medicare group
NPI 1902332133 (410) 955-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

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.
284 services147 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.
145 services83 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
60 services60 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
34 services33 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21239 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

Referred Medical Equipment & Supplies CMS DME claims

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

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
1 supplier11 claims11 services$58.52 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.

JACQUELINE L. HOOVER P.A.-C
Physician Assistant
5601 LOCH RAVEN BLVD, BALTIMORE
BALTIMORE, MD 21239
Baltimore City (443) 444-4730
DR. TIFFANI DANIELLE PITTMAN M.D.
Anesthesiology
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-4863
DR. SUJAN THAPALIYA M.D.
Internal Medicine
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (855) 633-0363
SHARAREH SHERRY BADRI M.D.
Internal Medicine (Geriatric Medicine)
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-6100
ALAYNA MARIE BLAZAKIS CRNP
Nurse Practitioner
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-4275
DR. ELIAS K SHAYA M.D.
Psychiatry & Neurology (Psychiatry)
5601 LOCH RAVEN BLVD, RMB 406
BALTIMORE, MD 21239
Baltimore City (410) 532-4540
CANDICE DIOR JORDAN M.D.
Emergency Medicine
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (855) 633-5655
SONJA STANTON RN BSN
Registered Nurse (Gerontology)
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-6100

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 Ishaan Gupta's NPI number?

The NPI number for Ishaan Gupta is 1023458098. It was assigned to this individual provider in the NPPES registry on July 4, 2013.

Where is Ishaan Gupta located?

Ishaan Gupta practices at 5601 Loch Raven Blvd Rmb 502, Baltimore, MD 21239. The listed phone number is (443) 444-4863.

What is Ishaan Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ishaan Gupta enrolled in Medicare?

Yes. Ishaan Gupta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ishaan Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ishaan Gupta reassigns Medicare benefits to 3 organizations: Johns Hopkins University (Baltimore, MD), Johns Hopkins Community Physicians (Baltimore, MD) and Johns Hopkins University (Baltimore, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ishaan Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ishaan Gupta affiliated with any hospitals?

According to CMS data, Ishaan Gupta is affiliated with Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Ishaan Gupta was last updated on May 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.