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MRIGANK SHEKHAR GUPTA MD
NPI 1053816488
Internal Medicine - Critical Care Medicine in Milwaukee, WI

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226(414) 955-4578 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2024, Mar 27, 2018 (2 updates tracked since 2018).

About Mrigank Shekhar Gupta Md NPPES

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

MRIGANK SHEKHAR GUPTA MD (NPI 1053816488) is an individual critical care medicine provider in Milwaukee, Wisconsin, licensed in Illinois (036171741) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2018).

NPPES Registry Identity

NPI1053816488
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameMRIGANK SHEKHAR GUPTACredential: MD
Location Address8701 W WATERTOWN PLANK RDMilwaukee, WI 53226-3548
Mailing Address8701 W Watertown Plank RdMilwaukee, WI 53226-3548
Phone(414) 955-4578
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2018
Enumeration DateMarch 27, 2018
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1053816488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in IL · 036171741
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 MedicineTaxonomy 207R00000X · License 036171741 (IL)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 036171741 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8701 W WATERTOWN PLANK RD, Milwaukee, WI 53226
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Mrigank Shekhar 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 ID4486068467
PECOS Enrollment IDI20240917000586
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 9

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 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.
58 services38 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.
24 services24 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.
19 services16 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
16 services16 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
16 services16 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Osf Saint Paul Medical Center

Critical Access Hospitals · Mendota, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141310
Location1401 E 12th StreetMendota, IL 61342 · La Salle County
Emergency services

Osf Saint Clare Medical Center

Critical Access Hospitals · Princeton, IL
OwnershipGovernment - Local
CMS Certification Number141337
Location530 Park Avenue EastPrinceton, IL 61356 · Bureau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

DR. JAMES VAUGHAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 456-8296
DR. JACLYN VANDERWAL MD
Student in an Organized Health Care Education/Training Program
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-1833
DR. KEONA CHILDS M.D.
Emergency Medicine
8701 W WATERTOWN PLANK RD, MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4575
SAMIH THALJI
Student in an Organized Health Care Education/Training Program
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4575
JAMES BENJAMIN MORONEY MD
Radiology (Vascular & Interventional Radiology)
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 456-6800
JORDAN ROBERT HANRAHAN
Student in an Organized Health Care Education/Training Program
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4582
VERONICA QUINTERN PUJOL MD
Internal Medicine
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8218
SARAH J LECAPITAINE MD
Student in an Organized Health Care Education/Training Program
8701 W WATERTOWN PLANK RD
WAUWATOSA, WI 53226
Milwaukee County (414) 955-8296

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 Mrigank Gupta's NPI number?

The NPI number for Mrigank Gupta is 1053816488. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Mrigank Gupta located?

Mrigank Gupta practices at 8701 W Watertown Plank Rd, Milwaukee, WI 53226. The listed phone number is (414) 955-4578.

What is Mrigank Gupta's specialty?

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

Is Mrigank Gupta enrolled in Medicare?

Yes. Mrigank 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 Mrigank Gupta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Mrigank 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 Mrigank Gupta affiliated with any hospitals?

According to CMS data, Mrigank Gupta is affiliated with Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr, St Joseph Medical Center, Osf Saint Paul Medical Center and Osf Saint Clare Medical Center.

When was this NPI record last updated?

The NPPES record for Mrigank Gupta was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.