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BALRAM GUPTA
NPI 1235393174
Hospitalist in Camp Hill, PA

Active since July 10, 2008PECOS EnrolledAccepts Medicare Assignment
71.17/100
CMS Quality Rating
503 N 21ST ST, HOLY SPIRIT HOSPITAL, CAMP HILL, PA 17011(717) 972-4448(717) 972-7366 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2022, Nov 9, 2020 (2 updates tracked since 2020).

About Balram Gupta NPPES

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

BALRAM GUPTA (NPI 1235393174) is an individual hospitalist provider in Camp Hill, Pennsylvania, licensed in Pennsylvania (MD446237) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1235393174
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameBALRAM GUPTA
Location Address503 N 21ST ST, HOLY SPIRIT HOSPITALCamp Hill, PA 17011
Mailing Address503 N 21st StCamp Hill, PA 17011-2204 · (717) 972-4448 · Fax (717) 531-7366
Phone(717) 972-4448
Fax(717) 972-7366
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 10, 2008
Last NPPES UpdateOctober 12, 20222 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
✔ NPI 1235393174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · MD446237
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 MD446237 (PA)
503 N 21ST ST, Camp Hill, PA 17011
Open in Google Maps ↗

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

Balram Gupta 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 ID9931252699
PECOS Enrollment IDI20120828000069
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services16 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Penn State Health Hampden Medical Center

Acute Care Hospitals · Enola, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390336
Location2200 Good Hope RoadEnola, PA 17025 · Cumberland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17011 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

71.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.05
Promoting Interoperability99
Improvement Activities40
Cost58.7

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.

ANANYA DAGGUBATI M.D.
Emergency Medicine
503 N 21ST ST
CAMP HILL, PA 17011
Cumberland County (717) 972-4301
PATHOLOGY ASSOCIATES OF CUMBERLAND VALLEY
Psychologist
503 N 21ST ST
CAMP HILL, PA 17011
Cumberland County (800) 475-6236
MS. RAQUEL VANESSA KNOWLES M.D.
Emergency Medicine
503 N 21ST ST
CAMP HILL, PA 17011
Cumberland County (717) 763-2219
DR. KRISHNA REDDY DONDETI M.D.
Internal Medicine
503 N 21ST ST
CAMP HILL, PA 17011
Cumberland County (717) 972-4448
MOHAMMAD SHAHRIAR HUSSAIN RUMI MBBS
Internal Medicine
503 N 21ST ST
CAMP HILL, PA 17011
Cumberland County (717) 972-4448
MS. DIANA L SHEPLEY CRNA
Nurse Anesthetist, Certified Registered
503 N 21ST ST
CAMP HILL, PA 17011
Cumberland County (717) 763-2121
HAROLD STEVEN RABIN MD
Radiology (Diagnostic Radiology)
503 N 21ST ST
CAMP HILL, PA 17011
Cumberland County (717) 763-2685
DR. ANTHONY LOUIS MONTECALVO M.D.
Psychiatry & Neurology (Psychiatry)
503 N 21ST ST
CAMP HILL, PA 17011
Cumberland County (717) 763-2219

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 Balram Gupta's NPI number?

The NPI number for Balram Gupta is 1235393174. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Where is Balram Gupta located?

Balram Gupta practices at 503 N 21st St Holy Spirit Hospital, Camp Hill, PA 17011. The listed phone number is (717) 972-4448.

What is Balram Gupta's specialty?

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

Is Balram Gupta enrolled in Medicare?

Yes. Balram 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 Balram Gupta affiliated with any hospitals?

According to CMS data, Balram Gupta is affiliated with Penn State Health Holy Spirit Medical Center and Penn State Health Hampden Medical Center.

When was this NPI record last updated?

The NPPES record for Balram Gupta was last updated on October 12, 2022. 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.