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ASHUTOSH GUPTA M.D.
NPI 1114993680
Pediatrics - Pediatric Endocrinology in Sioux Falls, SD

Active since February 24, 2006PECOS Enrolled
1417 S. CLIFF AVE, STE 010, SIOUX FALLS, SD 57105(605) 322-3666(605) 322-3665 Get Directions Write a Review

NPPES record last updated: October 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ashutosh Gupta M.d. NPPES

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

ASHUTOSH GUPTA M.D. (NPI 1114993680) is an individual pediatric endocrinology provider in Sioux Falls, South Dakota, licensed in South Dakota (5374) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114993680
Entity TypeIndividualMale
Primary Taxonomy2080P0205X
Provider Legal NameASHUTOSH GUPTACredential: M.D.
Location Address1417 S. CLIFF AVE, STE 010Sioux Falls, SD 57105-1014
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-7510 · Fax (605) 322-6475
Phone(605) 322-3666
Fax(605) 322-3665
Sole ProprietorNo
Enumeration DateFebruary 24, 2006
Last NPPES UpdateOctober 16, 2018
✔ NPI 1114993680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in SD · 5374
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
1417 S. CLIFF AVE, Sioux Falls, SD 57105
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Other Identifiers 18

Other722801041579SD · Preferred One
Other486T4GUMN · Cc Systems/ Blue Plus
Other1202972SD · Medica
Other486T4GUMN · Blue Cross
Other5374SD · Dakotacare
Medicaid6004860SD
Other370624200SD · Dept Of Labor
OtherHP43044SD · Healthpartners
Medicaid0581785IA
Other4995353SD · Blue Cross
Other243254SD · Midlands Choice
Other36795SD · Sanford Health Plan
Other57105I009SD · Wps Tricare
Medicaid46022474339NE
Other2277812SD · Araz/ America's Ppo
Other000080878MN · Primewest
Medicaid13414ND
Medicaid684477400MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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 (PECOS)

Ashutosh Gupta M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Other Providers at the Same Location NPPES 5

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

LAURA ANN HUA CNP
Nurse Practitioner (Family)
1417 S. CLIFF AVE, SUITE 010 PLAZA 1
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-5437
BRENDA KAY KALLEMEYN MD
Obstetrics & Gynecology
1417 S. CLIFF AVE, STE 200
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-6675
SAMI M AWADALLAH M.D.
Pediatrics (Pediatric Cardiology)
1417 S. CLIFF AVE, STE. 010
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-3666
WILFREDO G VELOIRA JR. M.D.
Pediatrics (Pediatric Pulmonology)
1417 S. CLIFF AVE, STE, 010
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-3666
STEPHEN ERROL NANTON M.D.
Pediatrics (Pediatric Gastroenterology)
1417 S. CLIFF AVE, STE 100
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-3666

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 Ashutosh Gupta's NPI number?

The NPI number for Ashutosh Gupta is 1114993680. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Ashutosh Gupta located?

Ashutosh Gupta practices at 1417 S. Cliff Ave Ste 010, Sioux Falls, SD 57105. The listed phone number is (605) 322-3666.

What is Ashutosh Gupta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Ashutosh Gupta enrolled in Medicare?

Yes. Ashutosh Gupta is registered in the Medicare PECOS enrollment system.

What insurance does Ashutosh Gupta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 2 other insurers list Ashutosh 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.

When was this NPI record last updated?

The NPPES record for Ashutosh Gupta was last updated on October 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.