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ANJALI GUPTA MD
NPI 1104074715
Internal Medicine - Nephrology in Roseburg, OR

Active since September 08, 2008PECOS EnrolledAccepts Medicare Assignment
2460 NW STEWART PKWY, SUITE 102, ROSEBURG, OR 97471(541) 677-2494 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1104074715
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameANJALI GUPTACredential: MD
Location Address2460 NW STEWART PKWY, SUITE 102Roseburg, OR 97471-1516
Mailing Address2460 Nw Stewart Pkwy, Suite 102Roseburg, OR 97471-1516
Phone(541) 677-2494
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 8, 2008
Last NPPES UpdateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
✔ NPI 1104074715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in WA · MD61204532✔ Licensed in OR · MD167029
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD61204532 (WA)
Also ListedHospitalistTaxonomy 208M00000X · License 61-003355 (NY)
2460 NW STEWART PKWY, Roseburg, OR 97471
Open in Google Maps ↗

Secondary Practice Location 1

Location 1505 NE 87th Ave Ste 460Vancouver, WA 98664-1965 · Phone (360) 514-2470 · Fax (360) 514-7624

Other Identifiers 1

Medicaid03126478NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. 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

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.

PECOS PAC ID4688728322
PECOS Enrollment IDI20211201003124
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 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.

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.
26 services19 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Peacehealth Southwest Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500050
Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County
Emergency services Birthing friendly

Legacy Salmon Creek Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500150
Location2211 NE 139th StreetVancouver, WA 98686 · Clark County
Emergency services Birthing friendly

Physician 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.

New Patient
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

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.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers40 claims6,720 services$0.35 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers32 claims4,800 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers27 claims3,540 services$0.17 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
7 suppliers42 claims42 services$18.09 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
7 suppliers70 claims77 services$11.66 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 8

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

SUNNY L MAY WHNP
Nurse Practitioner (Women's Health)
2460 NW STEWART PKWY, SUITE 240
ROSEBURG, OR 97471
Douglas County (541) 677-4427
JENNIFER BZOWY ANP
Nurse Practitioner (Women's Health)
2460 NW STEWART PKWY, SUITE 240
ROSEBURG, OR 97471
Douglas County (541) 677-4427
RAZVAN I GOSMAN MD
Internal Medicine (Pulmonary Disease)
2460 NW STEWART PKWY, SUITE 103
ROSEBURG, OR 97471
Douglas County (541) 672-9515
DR. DONALD E WONDERLY M.D.
Obstetrics & Gynecology
2460 NW STEWART PKWY, SUITE 240
ROSEBURG, OR 97471
Douglas County (541) 677-4427
MRS. WEN S. CHEN NP
Nurse Practitioner
2460 NW STEWART PKWY, SUITE 100
ROSEBURG, OR 97471
Douglas County (541) 677-6141
EDITH C KRAMER CNM
Advanced Practice Midwife
2460 NW STEWART PKWY, SUITE 240
ROSEBURG, OR 97471
Douglas County (541) 677-4427
SAMUEL J RUSSO DO PC
Family Medicine
2460 NW STEWART PKWY, SUITE 100
ROSEBURG, OR 97471
Douglas County (541) 677-6586
DONALD E. WONDERLY MD PC
Obstetrics & Gynecology
2460 NW STEWART PKWY, SUITE 240
ROSEBURG, OR 97471
Douglas County (541) 677-4427

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.

What insurance does Anjali Gupta accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer 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 and Legacy Salmon Creek 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.