GANESH PRASAD GUPTA MD
NPI 1316910433
Family Medicine in Baytown, TX

Active since February 09, 2006PECOS EnrolledAccepts Medicare Assignment
1610 JAMES BOWIE DR, STE A114, BAYTOWN, TX 77520(281) 422-3576(281) 422-0295 Get Directions Write a Review

NPPES record last updated: July 12, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ganesh Prasad Gupta Md NPPES

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

GANESH PRASAD GUPTA MD (NPI 1316910433) is an individual family medicine provider in Baytown, Texas, licensed in Texas (J4649) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Baytown Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1316910433
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGANESH PRASAD GUPTACredential: MD
Location Address1610 JAMES BOWIE DR, STE A114Baytown, TX 77520
Mailing AddressPo Box 975Baytown, TX 77522-0975 · (281) 422-3576 · Fax (281) 422-0295
Fax(281) 422-0295
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateFebruary 9, 2006
Last NPPES UpdateJuly 12, 2010
NPI 1316910433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · J4649
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1610 JAMES BOWIE DR, Baytown, TX 77520

Other Identifiers 3

Medicare UPINF65902
Medicaid129715206TX
Medicare ID-Type Unspecified00159FTX

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

Ganesh Prasad 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.

PECOS PAC ID7810177169
PECOS Enrollment IDI20110203001037
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 2

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 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.
238 services47 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Baytown Hospital

Acute Care Hospitals · Baytown, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450424
Location4401 Garth RoadBaytown, TX 77521 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77520 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Referred Medical Equipment & Supplies CMS DME claims

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
5 suppliers11 claims28 services$6.12 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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1610 JAMES BOWIE DR, STE B103
BAYTOWN, TX 77520
Specialist
1610 JAMES BOWIE DR, SUITE A107
BAYTOWN, TX 77520
Specialist
1610 JAMES BOWIE DR, SUITE B103
BAYTOWN, TX 77520
Podiatrist (Foot & Ankle Surgery)
1610 JAMES BOWIE DR, SUITE A102
BAYTOWN, TX 77520
Podiatrist
1610 JAMES BOWIE DR, STE A102
BAYTOWN, TX 77520
Internal Medicine
1610 JAMES BOWIE DR, SUITE A-107
BAYTOWN, TX 77520

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 Ganesh Gupta's NPI number?

The NPI number for Ganesh Gupta is 1316910433. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Ganesh Gupta located?

Ganesh Gupta practices at 1610 James Bowie Dr Ste A114, Baytown, TX 77520. The listed phone number is (281) 422-3576.

What is Ganesh Gupta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ganesh Gupta enrolled in Medicare?

Yes. Ganesh 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 Ganesh Gupta accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Ganesh 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 Ganesh Gupta affiliated with any hospitals?

According to CMS data, Ganesh Gupta is affiliated with Houston Methodist Baytown Hospital.

When was this NPI record last updated?

The NPPES record for Ganesh Gupta was last updated on July 12, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.