1. Home
  2. Directory
  3. California
  4. Santa Clara
  5. Internal Medicine
  6. NPI Profile

BALI GUPTA
NPI 1316409634
Internal Medicine in Santa Clara, CA

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
99.3/100
CMS Quality Rating
700 LAWRENCE EXPY, SANTA CLARA, CA 95051(408) 851-1000 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2024, Jun 9, 2023, Apr 4, 2019 (3 updates tracked since 2019).

About Bali Gupta NPPES

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

BALI GUPTA (NPI 1316409634) is an individual internal medicine provider in Santa Clara, California, licensed in California (A195180) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2019).

NPPES Registry Identity

NPI1316409634
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBALI GUPTA
Location Address700 LAWRENCE EXPYSanta Clara, CA 95051-5173
Mailing Address700 Lawrence ExpySanta Clara, CA 95051-5173
Phone(408) 851-1000
Sole ProprietorYes
Medical School CMSDrexel University College Of MedicineGraduated 2019
Enumeration DateApril 4, 2019
Last NPPES UpdateSeptember 24, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1316409634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · A195180✔ Licensed in NJ · 25MA11549800
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
700 LAWRENCE EXPY, Santa Clara, CA 95051
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Bali 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 ID5890163133
PECOS Enrollment IDI20241023003100
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 5

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.
173 services77 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.
27 services27 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services21 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.
18 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95051 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

99.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.96
Promoting Interoperability99.45
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.

HUI WU MD
Hospitalist
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 605-7333
REBEKAH LYNN KECK
Dietitian, Registered
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 475-7208
VALERIE ROBERSON RDN
Dietitian, Registered
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1000
LAARNI OBIS YET RRT
Respiratory Therapist, Registered
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-7022
NETALI ADIEL
Doula
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1000
DR. KHANH-LINH GUERRERO PHARM.D.
Pharmacist
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-7500
KRISTINE MAE MANGALINDAN M.D.
Student in an Organized Health Care Education/Training Program
700 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1000
PATRICK NGUYEN PHARM.D.
Pharmacist
700 LAWRENCE EXPY, DEPT 301
SANTA CLARA, CA 95051
Santa Clara County (408) 851-7492

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 Bali Gupta's NPI number?

The NPI number for Bali Gupta is 1316409634. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Bali Gupta located?

Bali Gupta practices at 700 Lawrence Expy, Santa Clara, CA 95051. The listed phone number is (408) 851-1000.

What is Bali Gupta's specialty?

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

Is Bali Gupta enrolled in Medicare?

Yes. Bali 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.

When was this NPI record last updated?

The NPPES record for Bali Gupta was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.