SACHIN GUPTA M.D.
NPI 1306953104
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in San Antonio, TX

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4411 MEDICAL DR STE 300, SAN ANTONIO, TX 78229(210) 614-5400(210) 614-2413 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 1, 2022, Aug 9, 2018, Jul 26, 2018 and 1 more (4 updates tracked since 2018).

About Sachin Gupta M.d. NPPES

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

SACHIN GUPTA M.D. (NPI 1306953104) is an individual advanced heart failure and transplant cardiology provider in San Antonio, Texas, licensed in Texas (M4799) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1306953104
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameSACHIN GUPTACredential: M.D.
Location Address4411 MEDICAL DR STE 300San Antonio, TX 78229-3824
Mailing Address4411 Medical Dr Ste 300San Antonio, TX 78229-3824 · (210) 614-5400 · Fax (210) 614-4244
Fax(210) 614-2413
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 25, 2006
Last NPPES UpdateFebruary 1, 20224 updates tracked since enumeration
NPI 1306953104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in TX · M4799
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License M4799 (TX)
4411 MEDICAL DR STE 300, San Antonio, TX 78229

Other Identifiers 5

Other329768YL7ATX · Medicare - Other
Other329768YNGSTX · Medicare - Tarrant
Medicaid183787405TX
Other183787406TX · Medicaid - Other
Other183787407TX · Medicaid - Tarrant

Accepted Insurance

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

Sachin 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 ID1355342999
PECOS Enrollment IDI20070124000405
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 34

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.

Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297
This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.
906 services207 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.
451 services419 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.
440 services269 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
436 services368 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
418 services380 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
404 services151 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Val Verde Regional Medical Center

Acute Care Hospitals · Del Rio, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450154
Location801 Bedell AveDel Rio, TX 78840 · Val Verde County
Emergency services

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450604
Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie County
Emergency services Birthing friendly

Frio Regional Hospital

Critical Access Hospitals · Pearsall, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451391
Location200 S Ih 35Pearsall, TX 78061 · Frio County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Cardiovascular Disease)
4411 MEDICAL DR STE 300
SAN ANTONIO, TX 78229
Nurse Practitioner
4411 MEDICAL DR STE 300
SAN ANTONIO, TX 78229
Internal Medicine (Cardiovascular Disease)
4411 MEDICAL DR STE 300
SAN ANTONIO, TX 78229
Internal Medicine (Cardiovascular Disease)
4411 MEDICAL DR STE 300
SAN ANTONIO, TX 78229
Internal Medicine (Interventional Cardiology)
4411 MEDICAL DR STE 300
SAN ANTONIO, TX 78229
Internal Medicine (Cardiovascular Disease)
4411 MEDICAL DR STE 300
SAN ANTONIO, TX 78229
Nurse Practitioner
4411 MEDICAL DR STE 300
SAN ANTONIO, TX 78229
Nurse Practitioner
4411 MEDICAL DR STE 300
SAN ANTONIO, TX 78229

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 Sachin Gupta's NPI number?

The NPI number for Sachin Gupta is 1306953104. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Sachin Gupta located?

Sachin Gupta practices at 4411 Medical Dr Ste 300, San Antonio, TX 78229. The listed phone number is (210) 614-5400.

What is Sachin Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Sachin Gupta enrolled in Medicare?

Yes. Sachin 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.

What insurance does Sachin Gupta accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Sachin 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 Sachin Gupta affiliated with any hospitals?

According to CMS data, Sachin Gupta is affiliated with Baptist Medical Center, Val Verde Regional Medical Center, Methodist Hospital, Hill Country Memorial Hospital and Frio Regional Hospital.

When was this NPI record last updated?

The NPPES record for Sachin Gupta was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.