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VISHAL GUPTA M.D.
NPI 1275516338
Radiology - Radiation Oncology in New York, NY

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
1184 5TH AVE, BOX 1236, NEW YORK, NY 10029(212) 241-7818(212) 410-7194 Get Directions Write a Review

NPPES record last updated: July 29, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vishal Gupta M.d. NPPES

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

VISHAL GUPTA M.D. (NPI 1275516338) is an individual radiation oncology provider in New York, New York, licensed in New York (252361) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Beth Israel, and is a graduate of Rush Medical College Of Rush University (2003).

NPPES Registry Identity

NPI1275516338
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameVISHAL GUPTACredential: M.D.
Location Address1184 5TH AVE, BOX 1236New York, NY 10029-6503
Mailing Address1184 5th Ave, Box 1236New York, NY 10029-6503 · (212) 241-7818 · Fax (212) 410-7194
Phone(212) 241-7818
Fax(212) 410-7194
Sole ProprietorYes
Medical School CMSRush Medical College Of Rush UniversityGraduated 2003
Enumeration DateNovember 22, 2005
Last NPPES UpdateJuly 29, 2011
✔ NPI 1275516338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Licenses✔ Licensed in NY · 252361✔ Licensed in CA · A90307
Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

1184 5TH AVE, New York, NY 10029
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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

Vishal 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 ID2264579382
PECOS Enrollment IDI20091022000308
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 7

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.

Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
49 services13 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
45 services12 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.
35 services24 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
20 services11 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.
20 services16 patients
Complex radiation therapy planning 77263
Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai Beth Israel

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330169
LocationFirst Avenue At 16th StreetNew York, NY 10003 · New York County
Emergency services

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SHERYL GREEN M.D.
Radiology (Radiation Oncology)
1184 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-7500
DR. JUDITH PLEASURE WILLNER M.D.
Medical Genetics (Clinical Genetics (M.D.))
1184 5TH AVE, BOX 1497
NEW YORK, NY 10029
New York County (212) 241-6947
DR. SAURABH MEHANDRU M.D.
Internal Medicine (Gastroenterology)
1184 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-3885
MOUNT SINAI SCHOOL OF MEDICINE
Radiology (Radiation Oncology)
1184 5TH AVE, BOX 1236
NEW YORK, NY 10029
New York County (212) 241-0025
MOUNT SINAI SCHOOL OF MEDICINE
Medical Genetics (Clinical Genetics (M.D.))
1184 5TH AVE, 2ND FLOOR
NEW YORK, NY 10029
New York County (212) 241-0915
JENNIFER LYNN KANGAS M.D.
Pediatrics
1184 5TH AVE, 8TH FLOOR
NEW YORK, NY 10029
New York County (212) 241-6934
MR. CHRISTIAN J MALATESTA FNP
Nurse Practitioner (Family)
1184 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-6041
MS. BETTY ANN-YU CHEN FNP, RN
Nurse Practitioner (Family)
1184 5TH AVE, BOX 1027
NEW YORK, NY 10029
New York County (212) 241-6041

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 Vishal Gupta's NPI number?

The NPI number for Vishal Gupta is 1275516338. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Vishal Gupta located?

Vishal Gupta practices at 1184 5th Ave Box 1236, New York, NY 10029. The listed phone number is (212) 241-7818.

What is Vishal Gupta's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Vishal Gupta enrolled in Medicare?

Yes. Vishal 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 Vishal Gupta affiliated with any hospitals?

According to CMS data, Vishal Gupta is affiliated with Mount Sinai Beth Israel and Berkeley Medical Center.

When was this NPI record last updated?

The NPPES record for Vishal Gupta was last updated on July 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.