PRADEEP K GUPTA MD
NPI 1215097829
Internal Medicine - Gastroenterology in Arlington, VA

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1715 N GEORGE MASON DR, SUITE 204, ARLINGTON, VA 22205(703) 522-0751(703) 528-4209 Get Directions Write a Review

NPPES record last updated: July 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pradeep K Gupta Md NPPES

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

PRADEEP K GUPTA MD (NPI 1215097829) is an individual gastroenterology provider in Arlington, Virginia, licensed in Virginia (0101044494) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of Howard University College Of Medicine (1988).

NPPES Registry Identity

NPI1215097829
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePRADEEP K GUPTACredential: MD
Location Address1715 N GEORGE MASON DR, SUITE 204Arlington, VA 22205-3609
Mailing Address1914 Gables LnVienna, VA 22182-6008
Fax(703) 528-4209
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1988
Enumeration DateDecember 12, 2006
Last NPPES UpdateJuly 9, 2012
NPI 1215097829 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 VA · 0101044494
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.
1715 N GEORGE MASON DR, Arlington, VA 22205

Other Identifiers 3

Other0101044494VA · State License
Medicare UPINF36436
Medicare PIN085270R69

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

Pradeep K 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 ID7416081856
PECOS Enrollment IDI20100820000019
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 10

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.
324 services255 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.
295 services289 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
192 services173 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
175 services175 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.
150 services146 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.
108 services108 patients

Hospital Affiliations CMS Care Compare

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

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22205 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Pediatrics
1715 N GEORGE MASON DR, SUITE 205
ARLINGTON, VA 22205
Psychiatry & Neurology (Psychiatry)
1715 N GEORGE MASON DR, #409
ARLINGTON, VA 22205
Advanced Practice Midwife
1715 N GEORGE MASON DR, #305
ARLINGTON, VA 22205
Specialist
1715 N GEORGE MASON DR, 408
ARLINGTON, VA 22205
Nurse Practitioner (Family)
1715 N GEORGE MASON DR, 402
ARLINGTON, VA 22205
Obstetrics & Gynecology
1715 N GEORGE MASON DR, SUITE 302
ARLINGTON, VA 22205
Orthopaedic Surgery
1715 N GEORGE MASON DR, SUITE 504
ARLINGTON, VA 22205
Specialist
1715 N GEORGE MASON DR, SUTIE #504
ARLINGTON, VA 22205

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 Pradeep Gupta's NPI number?

The NPI number for Pradeep Gupta is 1215097829. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Pradeep Gupta located?

Pradeep Gupta practices at 1715 N George Mason Dr Suite 204, Arlington, VA 22205. The listed phone number is (703) 522-0751.

What is Pradeep Gupta's specialty?

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

Is Pradeep Gupta enrolled in Medicare?

Yes. Pradeep 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 Pradeep Gupta affiliated with any hospitals?

According to CMS data, Pradeep Gupta is affiliated with Virginia Hospital Center.

When was this NPI record last updated?

The NPPES record for Pradeep Gupta was last updated on July 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.