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SANDHYA GUPTA MD
NPI 1114182771
Internal Medicine in Virginia Beach, VA

Active since July 23, 2008PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
2025 GLENN MITCHELL DR, VIRGINIA BEACH, VA 23456(757) 507-4123 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 23, 2021, Feb 28, 2020, Feb 17, 2020 and 2 more (5 updates tracked since 2016).

About Sandhya Gupta Md NPPES

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

SANDHYA GUPTA MD (NPI 1114182771) is an individual internal medicine provider in Virginia Beach, Virginia, licensed in Virginia (0101262802) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and maintains a secondary practice location in Elkhorn.

NPPES Registry Identity

NPI1114182771
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSANDHYA GUPTACredential: MD
Location Address2025 GLENN MITCHELL DRVirginia Beach, VA 23456-0178
Mailing Address2025 Glenn Mitchell DrVirginia Beach, VA 23456-0178 · (757) 507-4123
Phone(757) 507-4123
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 23, 2008
Last NPPES UpdateMay 20, 20245 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
✔ NPI 1114182771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in VA · 0101262802✔ Licensed in WI · 54045✔ Licensed in IL · 125-055483
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 0101262802 (VA), 54045 (WI)
2025 GLENN MITCHELL DR, Virginia Beach, VA 23456
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Secondary Practice Location 1

Location 1W3985 County Road NnElkhorn, WI 53121-4337 · Phone (262) 741-2718

Other Identifiers 1

Medicaid100011729WI

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

Sandhya 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 ID6901098904
PECOS Enrollment IDI20171108001448
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 8

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
458 services210 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.
325 services189 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
189 services182 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
123 services120 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.
55 services55 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.
53 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23456 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers34 claims34 services$12.67 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier24 claims24 services$3.72 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
3 suppliers39 claims39 services$59.52 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 20

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

CLOTILDE JORGINA RAMOS FNP-C
Nurse Practitioner (Family)
2025 GLENN MITCHELL DR
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-1000
AKSHAY CHAUDHARI MD
Internal Medicine
2025 GLENN MITCHELL DR
VA BEACH, VA 23456
Virginia Beach City (757) 967-8622
MELODY CRYSTAL HANSON OTR/L
Occupational Therapist (Physical Rehabilitation)
2025 GLENN MITCHELL DR
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-1000
DR. MARK TAYLOR VAUGHAN MD
Internal Medicine
2025 GLENN MITCHELL DR
VA BEACH, VA 23456
Virginia Beach City (757) 967-8622
TAYLOR CADDELL DO
Emergency Medicine
2025 GLENN MITCHELL DR
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-1000
DR. ADAM CHRISTOPHER HUGHES DO
Hospitalist
2025 GLENN MITCHELL DR
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-4123
HILINA GEMEDA MD
Internal Medicine
2025 GLENN MITCHELL DR
VA BEACH, VA 23456
Virginia Beach City (757) 967-8622
DR. KANWARPREET SINGH SAINI M.D.
Internal Medicine
2025 GLENN MITCHELL DR
VIRGINIA BCH, VA 23456
Virginia Beach City (757) 507-4123

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 Sandhya Gupta's NPI number?

The NPI number for Sandhya Gupta is 1114182771. It was assigned to this individual provider in the NPPES registry on July 23, 2008.

Where is Sandhya Gupta located?

Sandhya Gupta practices at 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456. The listed phone number is (757) 507-4123.

What is Sandhya Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sandhya Gupta enrolled in Medicare?

Yes. Sandhya 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.

Is Sandhya Gupta affiliated with any hospitals?

According to CMS data, Sandhya Gupta is affiliated with Sentara Albemarle Medical Center and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Sandhya Gupta was last updated on May 20, 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.