DR. SUNIL GUPTA M.D.
NPI 1235158031
Internal Medicine - Gastroenterology in Carmel, NY

Q: What is Sunil Gupta's NPI number?

The NPI number for Sunil Gupta is 1235158031. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Sunil Gupta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sunil Gupta was last updated on March 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment

92.24/100

CMS Quality Rating

667 STONELEIGH AVE, BARNS OFFICE CENTER BLDG A201, CARMEL, NY 10512(845) 278-5223(845) 278-4579 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Sunil Gupta M.d. NPPES

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

DR. SUNIL GUPTA M.D. (NPI 1235158031) is an individual gastroenterology provider in Carmel, New York, licensed in New York (2059761) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1235158031

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. SUNIL GUPTACredential: M.D.

Location Address667 STONELEIGH AVE, BARNS OFFICE CENTER BLDG A201Carmel, NY 10512-2454

Mailing Address7 Valley View RdChappaqua, NY 10514-2510

Phone(845) 278-5223

Fax(845) 278-4579

Sole ProprietorNo

Medical School CMSOtherGraduated 1980

Enumeration DateJuly 19, 2006

Last NPPES UpdateMarch 6, 2025

NPPES CertifiedMarch 6, 2025

✔ NPI 1235158031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NY · 2059761

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.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 2059761 (NY)

667 STONELEIGH AVE, Carmel, NY 10512

Open in Google Maps ↗

Other Identifiers 1

Medicaid02064937NY

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. Sunil 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 ID2860584059

PECOS Enrollment IDI20070817000096

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 16

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.

750 services385 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.

144 services144 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.

108 services82 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.

87 services87 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

86 services84 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

60 services58 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.

56 services55 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

46 services45 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.

42 services41 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

40 services31 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

27 services27 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

19 services18 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

16 services16 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

15 services14 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

14 services14 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330023

Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County

Emergency services Birthing friendly

Hudson Valley Hospital Center

Acute Care Hospitals · Cortlandt Manor, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330267

Location1980 Crompond RoadCortlandt Manor, NY 10567 · Westchester County

Emergency services Birthing friendly

Putnam Hospital Center

Acute Care Hospitals · Carmel, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330273

Location670 Stoneleigh AvenueCarmel, NY 10512 · Putnam County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10512 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

$141.77 typical visit price

range $61.88 – $187.05

Typical copayment $35.44 (range $15.47 – $46.76)

Most-billed visit code 99204

Established Patient

$108.56 typical visit price

range $19.92 – $151.94

Typical copayment $27.14 (range $4.98 – $37.98)

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.

92.24/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.49

Improvement Activities

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

100%233 patients5/55-star benchmark: 100%

Elder Maltreatment Screen and Follow-Up Plan

Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen

100%295 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers12 claims360 services$4.21 avg. paid by Medicare

Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153

Other-Enteral and Parenteral · category OB006N

2 suppliers12 claims4,692 services$0.92 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. BRUCE MARSHALL SHAFFER DPM

Podiatrist

667 STONELEIGH AVE, SUITE 111
CARMEL, NY 10512

Putnam County (845) 278-8637

GENEVA VIVINO NP

Nurse Practitioner (Psychiatric/Mental Health)

667 STONELEIGH AVE, SUITE 202
CARMEL, NY 10512

Putnam County (845) 279-5908

DR. ANTHONY M CUOMO DDS

Dentist (Oral and Maxillofacial Surgery)

667 STONELEIGH AVE, SUITE 301
CARMEL, NY 10512

Putnam County (845) 278-2101

MS. AMY S. ANDERSON L.C.S.W.

Social Worker (Clinical)

667 STONELEIGH AVE
CARMEL, NY 10512

Putnam County (845) 279-5908

DR. PAUL A LEBWOHL MD

Internal Medicine (Gastroenterology)

667 STONELEIGH AVE, SUITE 117
CARMEL, NY 10512

Putnam County (845) 278-6144

DR. DENNIS GERTZER M.D.

Pediatrics

667 STONELEIGH AVE, SUITE 116
CARMEL, NY 10512

Putnam County (845) 279-9652

DR. JONATHAN BUTTERS PHD

Psychologist (Clinical)

667 STONELEIGH AVE
CARMEL, NY 10512

Putnam County (845) 279-5908

DR. JEFFREY M SIMON PHD

Psychologist (Clinical)

667 STONELEIGH AVE
CARMEL, NY 10512

Putnam County (845) 279-5908

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 Sunil Gupta's NPI number?

The NPI number for Sunil Gupta is 1235158031. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Sunil Gupta located?

Sunil Gupta practices at 667 Stoneleigh Ave Barns Office Center Bldg A201, Carmel, NY 10512. The listed phone number is (845) 278-5223.

What is Sunil Gupta's specialty?

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

Is Sunil Gupta enrolled in Medicare?

Yes. Sunil 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 Sunil Gupta affiliated with any hospitals?

According to CMS data, Sunil Gupta is affiliated with Vassar Brothers Medical Center, Hudson Valley Hospital Center and Putnam Hospital Center.

When was this NPI record last updated?

The NPPES record for Sunil Gupta was last updated on March 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.