PIYUSH GUPTA MD
NPI 1275618803
Internal Medicine in Mount Vernon, OH
About Piyush Gupta Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PIYUSH GUPTA MD (NPI 1275618803) is an individual internal medicine provider in Mount Vernon, Ohio, licensed in Ohio (35-08-3669) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Piyush 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.
Medicare Billing Reassignments
9Medicare enrollment records show Piyush Gupta reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, OH 43213
- Reassigned Medicare billing, Ohio enrollment
- 3,314 clinicians in this Medicare group
Columbus, OH 43213
- Reassigned Medicare billing, Ohio enrollment
- 776 clinicians in this Medicare group
Lorain, OH 44053
- Reassigned Medicare billing, Ohio enrollment
- 325 clinicians in this Medicare group
Springfield, OH 45504
- Reassigned Medicare billing, Ohio enrollment
- 494 clinicians in this Medicare group
Troy, OH 45373
- Reassigned Medicare billing, Ohio enrollment
- 405 clinicians in this Medicare group
Ashtabula, OH 44004
- Reassigned Medicare billing, Ohio enrollment
- 272 clinicians in this Medicare group
Greenwood Village, CO 80111
- Reassigned Medicare billing, Ohio and Washington enrollments
- Also billed through NPI 1861808719 (Washington)
- 28 clinicians in this Medicare group
Palm Springs, CA 92262
- Reassigned Medicare billing, California enrollment
- 962 clinicians in this Medicare group
Yreka, CA 96097
- Reassigned Medicare billing, California enrollment
- 140 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Health-Anderson Hospital
Acute Care Hospitals · Cincinnati, OHThe Jewish Hospital-Mercy Health
Acute Care Hospitals · Cincinnati, OHMercy Health - Fairfield Hospital
Acute Care Hospitals · Fairfield, OHMercy Health - West Hospital
Acute Care Hospitals · Cincinnati, OHAstria Sunnyside Hospital
Critical Access Hospitals · Sunnyside, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43050 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MOUNT VERNON, OH 43050
MOUNT VERNON, OH 43050
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 Piyush Gupta's NPI number?
The NPI number for Piyush Gupta is 1275618803. It was assigned to this individual provider in the NPPES registry on October 25, 2006.
Where is Piyush Gupta located?
Piyush Gupta practices at 1330 Coshocton Ave, Mount Vernon, OH 43050. The listed phone number is (740) 399-3875.
What is Piyush Gupta's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Piyush Gupta enrolled in Medicare?
Yes. Piyush 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.
Which organizations bill Medicare for Piyush Gupta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Piyush Gupta reassigns Medicare benefits to 9 organizations: Ohiohealth Corporation (Columbus, OH), Hospitalist Medicine Physicians Of Ohio, Professional Corporation (Columbus, OH), Community Hospitalist, LLC (Lorain, OH), Usacs Integrated Acute Care Services Of Ohio, LLC (Springfield, OH), Upper Valley Professional Corporation (Troy, OH) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Piyush Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Piyush Gupta accept?
Health plans from CareSource and Paramount list Piyush Gupta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Piyush Gupta affiliated with any hospitals?
According to CMS data, Piyush Gupta is affiliated with Mercy Health-Anderson Hospital, The Jewish Hospital-Mercy Health, Mercy Health - Fairfield Hospital, Mercy Health - West Hospital and Astria Sunnyside Hospital.
When was this NPI record last updated?
The NPPES record for Piyush Gupta was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Piyush Gupta, MD · NPI 1275618803
Internal Medicine physician in Mount Vernon, Ohio. Individual provider, active in the CMS NPPES registry since October 25, 2006.
## Identity
- **NPI:** 1275618803 (Entity type: Individual)
- **Enumerated:** October 25, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 35-08-3669 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1330 COSHOCTON AVE, Mount Vernon, OH 43050-1440
- **Phone:** (740) 399-3875
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Ohiohealth Corporation (NPI 1265627301, Columbus, OH); Hospitalist Medicine Physicians Of Ohio, Professional Corporation (NPI 1043572290, Columbus, OH); Community Hospitalist, LLC (NPI 1538236872, Lorain, OH); Usacs Integrated Acute Care Services Of Ohio, LLC (NPI 1043805690, Springfield, OH); Upper Valley Professional Corporation (NPI 1407872518, Troy, OH); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** March 25, 2026
- **Other identifiers:** Medicaid 2477396 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1275618803) · Data from the CMS NPPES public registry.