SUNIL KUMAR GUPTA MD
NPI 1093886657
Internal Medicine in Cumberland, MD
About Sunil Kumar Gupta Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNIL KUMAR GUPTA MD (NPI 1093886657) is an individual internal medicine provider in Cumberland, Maryland, licensed in Maryland (D0033280) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Western Maryland Regional Medical Center, and is a graduate of Other (1975).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Sunil Kumar 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.
Areas of Expertise CMS Part B claims 29
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Western Maryland Regional Medical Center
Acute Care Hospitals · Cumberland, MDWest Virginia University Hospitals, Inc
Acute Care Hospitals · Morgantown, WVBerkeley Medical Center
Acute Care Hospitals · Martinsburg, WVPotomac Valley Hospital
Critical Access Hospitals · Keyser, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 34
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CUMBERLAND, MD 21502
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 Sunil Gupta's NPI number?
The NPI number for Sunil Gupta is 1093886657. It was assigned to this individual provider in the NPPES registry on November 13, 2006.
Where is Sunil Gupta located?
Sunil Gupta practices at 625 Kent Ave Ste 101, Cumberland, MD 21502. The listed phone number is (301) 724-7117.
What is Sunil Gupta's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sunil Gupta enrolled in Medicare?
Yes. Sunil 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 Sunil Gupta accept?
Health plans from CareSource list Sunil 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 Sunil Gupta affiliated with any hospitals?
According to CMS data, Sunil Gupta is affiliated with Western Maryland Regional Medical Center, West Virginia University Hospitals, Inc, Berkeley Medical Center and Potomac Valley Hospital.
When was this NPI record last updated?
The NPPES record for Sunil Gupta was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.