ANJALI GUPTA MD
NPI 1104074715
Internal Medicine - Nephrology in Roseburg, OR
About Anjali Gupta Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANJALI GUPTA MD (NPI 1104074715) is an individual nephrology provider in Roseburg, Oregon, licensed in Washington (MD61204532) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Peacehealth Southwest Medical Center, and maintains a secondary practice location in Vancouver.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Anjali 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.
Medicare Billing Reassignments
3Medicare enrollment records show Anjali Gupta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roseburg, OR 97471
- Reassigned Medicare billing, Oregon enrollment
- 90 clinicians in this Medicare group
Vancouver, WA 98664
- Reassigned Medicare billing, Washington enrollment
- 307 clinicians in this Medicare group
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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 2
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Peacehealth Southwest Medical Center
Acute Care Hospitals · Vancouver, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97471 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 5
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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEBURG, OR 97471
ROSEBURG, OR 97471
ROSEBURG, OR 97471
ROSEBURG, OR 97471
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 Anjali Gupta's NPI number?
The NPI number for Anjali Gupta is 1104074715. It was assigned to this individual provider in the NPPES registry on September 8, 2008.
Where is Anjali Gupta located?
Anjali Gupta practices at 2460 NW Stewart Pkwy Suite 102, Roseburg, OR 97471. The listed phone number is (541) 677-2494.
What is Anjali Gupta's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Anjali Gupta enrolled in Medicare?
Yes. Anjali 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.
Which organizations bill Medicare for Anjali Gupta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anjali Gupta reassigns Medicare benefits to 3 organizations: Centennial Medical Group Inc. (Roseburg, OR), Peacehealth (Vancouver, WA) and Permanente Medical Group Inc (Vallejo, CA). 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 Anjali Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anjali Gupta accept?
Health plans from Ambetter Health, BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and PacificSource Health Plans and 2 other insurers list Anjali 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 Anjali Gupta affiliated with any hospitals?
According to CMS data, Anjali Gupta is affiliated with Peacehealth Southwest Medical Center.
When was this NPI record last updated?
The NPPES record for Anjali Gupta was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Anjali Gupta, MD · NPI 1104074715
Nephrology physician in Roseburg, Oregon. Individual provider, active in the CMS NPPES registry since September 8, 2008.
## Identity
- **NPI:** 1104074715 (Entity type: Individual)
- **Enumerated:** September 8, 2008
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** MD61204532 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 2460 NW STEWART PKWY, SUITE 102, Roseburg, OR 97471-1516
- **Phone:** (541) 677-2494
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Centennial Medical Group Inc. (NPI 1518103274, Roseburg, OR); Peacehealth (NPI 1609061969, Vancouver, WA); Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** November 10, 2021
- **Other identifiers:** Medicaid 03126478 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1104074715) · Data from the CMS NPPES public registry.