PUNAM GUPTA M.D
NPI 1184659245
Hospitalist in San Jose, CA

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
225 N JACKSON AVE, SAN JOSE, CA 95116(408) 378-6131 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Punam Gupta M.d NPPES

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

PUNAM GUPTA M.D (NPI 1184659245) is an individual hospitalist provider in San Jose, California, licensed in California (A94990) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1184659245
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NamePUNAM GUPTACredential: M.D
Location Address225 N JACKSON AVESan Jose, CA 95116-1603
Mailing Address2100 Powell St, Ste 920Emeryville, CA 94608-1826 · (510) 350-2600 · Fax (510) 879-9100
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 11, 2006
Last NPPES UpdateDecember 13, 2021
✔ NPI 1184659245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · A94990
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License A94990 (CA)
225 N JACKSON AVE, San Jose, CA 95116

Other Identifiers 1

Medicaid00A949900CA

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

Punam Gupta M.d 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 ID5496758500
PECOS Enrollment IDI20060810000245
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

4

Medicare enrollment records show Punam Gupta reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Hospitalist
2500 GRANT RD
Mountain View, CA 94040
  • Reassigned Medicare billing, California enrollment
  • 217 clinicians in this Medicare group
Internal Medicine
18300 US HIGHWAY 18
Apple Valley, CA 92307
  • Reassigned Medicare billing, California enrollment
  • 914 clinicians in this Medicare group
Hospitalist
400 N PEPPER AVE
Colton, CA 92324
  • Reassigned Medicare billing, California enrollment
  • 338 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

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.

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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95116 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%155 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 (Critical Care Medicine)
225 N JACKSON AVE
SAN JOSE, CA 95116
Internal Medicine
225 N JACKSON AVE
SAN JOSE, CA 95116
Pathology (Anatomic Pathology & Clinical Pathology)
225 N JACKSON AVE
SAN JOSE, CA 95116
Pathology (Anatomic Pathology & Clinical Pathology)
225 N JACKSON AVE
SAN JOSE, CA 95116
Emergency Medicine
225 N JACKSON AVE
SAN JOSE, CA 95116
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
225 N JACKSON AVE, PHARMACY DEPARTMENT
SAN JOSE, CA 95116
Anesthesiology
225 N JACKSON AVE
SAN JOSE, CA 95116
Anesthesiology
225 N JACKSON AVE
SAN JOSE, CA 95116

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 Punam Gupta's NPI number?

The NPI number for Punam Gupta is 1184659245. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Punam Gupta located?

Punam Gupta practices at 225 N Jackson Ave, San Jose, CA 95116. The listed phone number is (408) 378-6131.

What is Punam Gupta's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Punam Gupta enrolled in Medicare?

Yes. Punam 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 Punam Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Punam Gupta reassigns Medicare benefits to 4 organizations: Permanente Medical Group Inc (Santa Clara, CA), Quantum Bay Area Hospitalist Medical Group Inc (Mountain View, CA), Hospitalist Medicine Physicians Of California, Inc (Apple Valley, CA) and Quantum Healthcare Medical Associates Inc. (Colton, 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 Punam Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Punam Gupta was last updated on December 13, 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.