SANDEEP GUPTA MD
NPI 1063500353
Internal Medicine - Pulmonary Disease in Houston, TX

Q: What is Sandeep Gupta's NPI number?

The NPI number for Sandeep Gupta is 1063500353. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Sandeep Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Sandeep Gupta was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment

97.13/100

CMS Quality Rating

11920 ASTORIA BLVD STE 320, HOUSTON, TX 77089(281) 484-9369(281) 484-1843 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Sandeep Gupta Md NPPES

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

SANDEEP GUPTA MD (NPI 1063500353) is an individual pulmonary disease provider in Houston, Texas, licensed in Texas (J8256) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1063500353

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameSANDEEP GUPTACredential: MD

Location Address11920 ASTORIA BLVD STE 320Houston, TX 77089-6097

Mailing Address11920 Astoria Blvd Ste 320Houston, TX 77089-6097 · (281) 484-9369 · Fax (281) 484-1843

Phone(281) 484-9369

Fax(281) 484-1843

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateOctober 11, 2006

Last NPPES UpdateNovember 22, 2024

NPPES CertifiedNovember 22, 2024

✔ NPI 1063500353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TX · J8256

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License J8256 (TX)

11920 ASTORIA BLVD STE 320, Houston, TX 77089

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Other Identifiers 1

Medicaid039762201TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Sandeep 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 ID143346163

PECOS Enrollment IDI20100928000596

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 15

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.

946 services399 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.

607 services237 patients

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.

189 services155 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.

103 services103 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.

102 services102 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.

90 services84 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.

75 services75 patients

Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399

A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.

67 services67 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

62 services62 patients

Test to measure rate of airflow 94375

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

41 services41 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

35 services35 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.

24 services21 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

16 services11 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

15 services14 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number450018

Location301 University BoulevardGalveston, TX 77555 · Galveston County

Emergency services Birthing friendly

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450068

Location6411 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Hca Houston Healthcare Clear Lake

Acute Care Hospitals · Webster, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450617

Location500 W Medical Center BlvdWebster, TX 77598 · Harris County

Emergency services Birthing friendly

St Luke's Patients Medical Center

Acute Care Hospitals · Pasadena, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670031

Location4600 East Sam Houston Parkway SouthPasadena, TX 77505 · Harris County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77089 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

97.13/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

96.18

Promoting Interoperability

100

Improvement Activities

Cost

77.61

Reported Quality Measures

Advance Care Plan

100%1,093 patients5/55-star benchmark: 100%

Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy

100%102 patients

Documentation of Current Medications in the Medical Record

100%5,090 patients5/55-star benchmark: 100%

e-Prescribing

96%580 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

100%1,883 patients5/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 1,320 patients

Patients screened: 100% · 1,320 patients

100%142 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

99%860 patients4/55-star benchmark: 100%

Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy

100%431 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 28

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

15 suppliers359 claims359 services$32.32 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

15 suppliers188 claims188 services$72.62 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

15 suppliers186 claims530 services$28.49 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

15 suppliers157 claims911 services$15.78 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

11 suppliers145 claims857 services$12.44 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

21 suppliers331 claims331 services$47.07 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

25 suppliers289 claims289 services$15.21 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

7 suppliers35 claims35 services$8.35 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

17 suppliers158 claims158 services$10.76 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

25 suppliers492 claims2,830 services$1.71 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

17 suppliers54 claims54 services$5.46 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

22 suppliers210 claims210 services$11.10 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

11 suppliers139 claims139 services$14.81 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers19 claims19 services$917.14 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

3 suppliers34 claims34 services$75.37 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

8 suppliers57 claims57 services$117.30 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

5 suppliers27 claims29 services$9.72 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers33 claims37 services$3.26 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

16 suppliers631 claims633 services$29.23 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

15 suppliers385 claims385 services$74.20 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

9 suppliers240 claims240 services$31.90 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims720 services$6.60 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

10 suppliers19 claims6,909 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

11 suppliers64 claims8,520 services$0.09 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

2 suppliers16 claims945 services$0.15 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims63,000 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

11 suppliers72 claims72 services$23.61 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 90 days Q0514

DME-Other DME · category DE000N

8 suppliers15 claims15 services$52.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 14

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

MS. LORRAINE SAMSON SARREAL ACNPC-AG

Nurse Practitioner (Critical Care Medicine)

11920 ASTORIA BLVD STE 320
HOUSTON, TX 77089

Harris County (281) 484-9369

HOUSTON INTENSIVE CARE MEDICINE ASSOCIATES

Internal Medicine (Critical Care Medicine)

11920 ASTORIA BLVD STE 320
HOUSTON, TX 77089

Harris County (281) 484-9369

MAYANK C. PATEL MD

Internal Medicine (Pulmonary Disease)

11920 ASTORIA BLVD STE 320
HOUSTON, TX 77089

Harris County (281) 484-9369

ELIAS FELIX CORTEZ-GUADIANA NP

Nurse Practitioner (Acute Care)

11920 ASTORIA BLVD STE 320
HOUSTON, TX 77089

Harris County (281) 484-9369

REYNA ESPERANZA CORTEZ APRN

Nurse Practitioner (Acute Care)

11920 ASTORIA BLVD STE 320
HOUSTON, TX 77089

Harris County (281) 484-9369

MS. CHANDNI PAL PA-C

Physician Assistant

11920 ASTORIA BLVD STE 320
HOUSTON, TX 77089

Harris County (832) 367-0305

SALLY ZIATABAR D.O

Internal Medicine (Pulmonary Disease)

11920 ASTORIA BLVD STE 320
HOUSTON, TX 77089

Harris County (281) 484-9369

ANAND SRIKRISHNAN M.D.

Internal Medicine (Pulmonary Disease)

11920 ASTORIA BLVD STE 320
HOUSTON, TX 77089

Harris County (281) 484-9369

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 Sandeep Gupta's NPI number?

The NPI number for Sandeep Gupta is 1063500353. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Sandeep Gupta located?

Sandeep Gupta practices at 11920 Astoria Blvd Ste 320, Houston, TX 77089. The listed phone number is (281) 484-9369.

What is Sandeep Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sandeep Gupta enrolled in Medicare?

Yes. Sandeep 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 Sandeep Gupta accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Sandeep 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 Sandeep Gupta affiliated with any hospitals?

According to CMS data, Sandeep Gupta is affiliated with University Of Texas Medical Branch Galveston, Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System, Hca Houston Healthcare Clear Lake and St Luke's Patients Medical Center.

When was this NPI record last updated?

The NPPES record for Sandeep Gupta was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.