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RAHUL GUPTA M.D.
NPI 1245421213
Internal Medicine in Fairfield, CT

Active since August 06, 2007PECOS EnrolledAccepts Medicare Assignment
93.56/100
CMS Quality Rating
1305 POST RD, SUITE 102, FAIRFIELD, CT 06824(203) 254-2046(203) 254-2048 Get Directions Write a Review

NPPES record last updated: August 6, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rahul Gupta M.d. NPPES

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

RAHUL GUPTA M.D. (NPI 1245421213) is an individual internal medicine provider in Fairfield, Connecticut, licensed in Connecticut (045505) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital - Needham, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1245421213
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAHUL GUPTACredential: M.D.
Location Address1305 POST RD, SUITE 102Fairfield, CT 06824-6016
Mailing Address1305 Post Rd, Suite 102Fairfield, CT 06824-6016 · (203) 254-2046 · Fax (203) 254-2048
Phone(203) 254-2046
Fax(203) 254-2048
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 6, 2007
✔ NPI 1245421213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 045505
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1305 POST RD, Fairfield, CT 06824
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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

Rahul 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 ID5496840902
PECOS Enrollment IDI20070928000274
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 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.
222 services138 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
156 services139 patients
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.
124 services86 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
60 services60 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
50 services42 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
44 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220083
Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County
Emergency services

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06824 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

93.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.51
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 19

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims30 services$4.84 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier54 claims54 services$24.42 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers64 claims72 services$9.01 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier62 claims124 services$6.31 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims2,288 services$0.34 avg. paid by Medicare
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203
DME-Medical/Surgical Supplies · category DA023N
1 supplier18 claims538 services$3.23 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.

FAIRFIELD COUNTY LIFESTYLE CONSULTANTS, LLC
Dietitian, Registered
1305 POST RD, SUITE 307
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 256-0048
SAUGATUCK HOMECARE, INC.
In Home Supportive Care
1305 POST RD, SUITE 106
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 254-0402
FAIRFIELD DERMATOLOGY, P.C.
Specialist
1305 POST RD, 310
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 259-7709
LAURA J CARAMORE OTR L
Occupational Therapist
1305 POST RD, SUITE 100
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 767-0981
CARDIAC SPECIALISTS, P.C.
Specialist
1305 POST RD
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 292-2000
DR. RAQUEL HURUTA DIAS MD
Pediatrics
1305 POST RD, SUITE 103
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 955-1990
GLOBAL PEDIATRICS LLC
Pediatrics
1305 POST RD, SUITE 103
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 955-1990
DR. PAUL DENGELEGI DMD
Dentist (Prosthodontics)
1305 POST RD, STE 200
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 255-9399

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 Rahul Gupta's NPI number?

The NPI number for Rahul Gupta is 1245421213. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Where is Rahul Gupta located?

Rahul Gupta practices at 1305 Post Rd Suite 102, Fairfield, CT 06824. The listed phone number is (203) 254-2046.

What is Rahul Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rahul Gupta enrolled in Medicare?

Yes. Rahul 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 Rahul Gupta affiliated with any hospitals?

According to CMS data, Rahul Gupta is affiliated with Beth Israel Deaconess Hospital - Needham and Beth Israel Deaconess Medical Center.

When was this NPI record last updated?

The NPPES record for Rahul Gupta was last updated on August 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.