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DR. RAMESH C GUPTA M.D.
NPI 1205813391
Internal Medicine - Gastroenterology in Fair Lawn, NJ

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
15-01 BROADWAY, SUITE 28, FAIR LAWN, NJ 07410(201) 794-8900(201) 794-9424 Get Directions Write a Review

NPPES record last updated: February 28, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ramesh C Gupta M.d. NPPES

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

DR. RAMESH C GUPTA M.D. (NPI 1205813391) is an individual gastroenterology provider in Fair Lawn, New Jersey, licensed in New Jersey (MA029507) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (1968).

NPPES Registry Identity

NPI1205813391
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RAMESH C GUPTACredential: M.D.
Location Address15-01 BROADWAY, SUITE 28Fair Lawn, NJ 07410-6003
Mailing Address15-01 Broadway, Suite 28Fair Lawn, NJ 07410-6003 · (201) 794-8900 · Fax (201) 794-9424
Phone(201) 794-8900
Fax(201) 794-9424
Sole ProprietorNo
Medical School CMSOtherGraduated 1968
Enumeration DateDecember 29, 2005
Last NPPES UpdateFebruary 28, 2012
✔ NPI 1205813391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NJ · MA029507
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
15-01 BROADWAY, Fair Lawn, NJ 07410
Open in Google Maps ↗

Other Identifiers 10

OtherOK5924NJ · Healthnet
Other1042665NJ · Horizon Mercy
Other12121NJ · Uhp
OtherBS066NJ · Oxford
Medicare UPINC53450NJ
Medicare ID-Type Unspecified045507NJ
Other4092992NJ · Aetna
Other10994NJ · Amerigroup
Medicaid1301101NJ
Other0100009603NJ · Americhoice

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Ramesh C 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 ID8325039068
PECOS Enrollment IDI20051017000451
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
192 services103 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
29 services29 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
23 services23 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07410 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
88%1,172 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,302 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
75%1,190 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
65%687 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%1,707 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
13%76 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
76%687 patients4/55-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.

DR. VIKTORIA SVERDLOV DMD
Dentist
15-01 BROADWAY, SUITE 10F
FAIR LAWN, NJ 07410
Bergen County (201) 791-0130
IMEDICAL ASSOCIATES, LLC
Internal Medicine
15-01 BROADWAY, SUITE 32
FAIR LAWN, NJ 07410
Bergen County (201) 791-6434
SAILAJA DEVI VALIVETI MD
Psychiatry & Neurology (Geriatric Psychiatry)
15-01 BROADWAY
FAIR LAWN, NJ 07410
Bergen County (201) 794-7733
ROBERT GREENBLUM MD
Specialist
15-01 BROADWAY, STE 20
FAIR LAWN, NJ 07410
Bergen County (201) 794-6008
DR. THOMAS RENNY D.M.D.
Dentist (General Practice)
15-01 BROADWAY
FAIR LAWN, NJ 07410
Bergen County (201) 791-0130
SURGICARE SURGICAL ASSOCIATES OF FAIRLAWN, LLC
Clinic/Center (Ambulatory Surgical)
15-01 BROADWAY, STE 1
FAIR LAWN, NJ 07410
Bergen County (201) 703-8487
KUCHIPUDI BAPINEEDU, MD PA
Surgery
15-01 BROADWAY, STE. #22
FAIR LAWN, NJ 07410
Bergen County (201) 796-4848
MS. BEENA PATEL PT, DPT
Physical Therapist
15-01 BROADWAY, SUITE 30A
FAIR LAWN, NJ 07410
Bergen County (201) 703-7107

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 Ramesh Gupta's NPI number?

The NPI number for Ramesh Gupta is 1205813391. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Ramesh Gupta located?

Ramesh Gupta practices at 15-01 Broadway Suite 28, Fair Lawn, NJ 07410. The listed phone number is (201) 794-8900.

What is Ramesh Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ramesh Gupta enrolled in Medicare?

Yes. Ramesh 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 Ramesh Gupta accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ramesh 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 Ramesh Gupta affiliated with any hospitals?

According to CMS data, Ramesh Gupta is affiliated with St Joseph's University Medical Center Inc and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Ramesh Gupta was last updated on February 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.