SUPRIYA GUPTA MBBS
NPI 1124540604
Internal Medicine - Hematology in Rochester, MN

Active since July 17, 2017PECOS EnrolledAccepts Medicare Assignment
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 18, 2023, May 12, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Supriya Gupta Mbbs NPPES

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

SUPRIYA GUPTA MBBS (NPI 1124540604) is an individual hematology provider in Rochester, Minnesota, licensed in Minnesota (73769) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1124540604
Entity TypeIndividualFemale
Primary Taxonomy207RH0000X
Provider Legal NameSUPRIYA GUPTACredential: MBBS
Location Address200 1ST ST SWRochester, MN 55905-0001
Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 17, 2017
Last NPPES UpdateOctober 18, 20234 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
✔ NPI 1124540604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in MN · 73769
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
200 1ST ST SW, Rochester, MN 55905

Secondary Practice Location 1

Location 11501 Kings Highway, Internal MedicineShreveport, LA 71130 · Phone (318) 626-0434

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

Supriya Gupta Mbbs 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 ID3072979657
PECOS Enrollment IDI20230524002289
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Supriya Gupta reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Infectious Disease
200 1ST ST SW
Rochester, MN 55905
  • Reassigned Medicare billing, Minnesota enrollment
  • 6,534 clinicians in this Medicare group
Primary Care
19685 PILOT KNOB RD
Farmington, MN 55024
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
Clinic/Center
6936 PINE ARBOR DRIVE SOUTH, SUITE 100
Cottage Grove, MN 55016
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
Multi-Specialty
14101 FAIRVIEW DRIVE, STE 300
Burnsville, MN 55337
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Point of Service
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
Dentist
701 25TH AVE S, SUITE 400
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: University Of Minnesota Physicians
  • 1,453 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.

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 Supriya Gupta's NPI number?

The NPI number for Supriya Gupta is 1124540604. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Where is Supriya Gupta located?

Supriya Gupta practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Supriya Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Supriya Gupta enrolled in Medicare?

Yes. Supriya 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 Supriya Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Supriya Gupta reassigns Medicare benefits to 7 organizations: Mayo Clinic (Rochester, MN), Fairview Clinics (Farmington, MN), Healtheast Medical Research Institute (Cottage Grove, MN), Fairview Express Care (Burnsville, MN), Fairview Specialty Services (Saint Paul, MN) and 2 more organizations, listed in the Medicare section above. 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 Supriya Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Supriya Gupta affiliated with any hospitals?

According to CMS data, Supriya Gupta is affiliated with M Health Fairview University Of Mn and M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Supriya Gupta was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.