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ADITYA SENGUPTA M.D.
NPI 1336642123
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Dallas, TX

Active since March 17, 2018PECOS Enrolled
11970 N CENTRAL EXPY STE 510, DALLAS, TX 75243(347) 920-6174 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 14, 2026, Mar 17, 2018 (2 updates tracked since 2018).

About Aditya Sengupta M.d. NPPES

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

ADITYA SENGUPTA M.D. (NPI 1336642123) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Dallas, Texas, licensed in Texas (W4957) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2018).

NPPES Registry Identity

NPI1336642123
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameADITYA SENGUPTACredential: M.D.
Location Address11970 N CENTRAL EXPY STE 510Dallas, TX 75243-3961
Mailing Address11970 N Central Expy Ste 510Dallas, TX 75243-3961 · (347) 920-6174
Phone(347) 920-6174
Sole ProprietorYes
Medical School CMSBoston University School Of MedicineGraduated 2018
Enumeration DateMarch 17, 2018
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1336642123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in TX · W4957
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11970 N CENTRAL EXPY STE 510, Dallas, TX 75243
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aditya Sengupta M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719225549
PECOS Enrollment IDI20260626004590
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.

Medicare Billing Reassignment

Medicare enrollment records show Aditya Sengupta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Texas Heart Surgery Center, PLLC
0.4 mi
Surgery
7777 FOREST LN, SUITE A323
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
  • 23 clinicians in this Medicare group
NPI 1457651606 (972) 566-4866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75243 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
$172.86 typical visit price
range $57.18 – $172.86
Typical copayment $43.21 (range $14.29 – $43.21)
Most-billed visit code 99205
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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 3

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

PRESTIGE PAIN PARTNERS PLLC
Anesthesiology (Pain Medicine)
11970 N CENTRAL EXPY STE 510
DALLAS, TX 75243
Dallas County (214) 415-6845
MRS. SARAH LAUREN TOTH AGACNP
Nurse Practitioner (Acute Care)
11970 N CENTRAL EXPY STE 510
DALLAS, TX 75243
Dallas County (214) 575-5885
JUAN C MACHANNAFORD MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
11970 N CENTRAL EXPY STE 510
DALLAS, TX 75243
Dallas County (214) 575-5885

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 Aditya Sengupta's NPI number?

The NPI number for Aditya Sengupta is 1336642123. It was assigned to this individual provider in the NPPES registry on March 17, 2018.

Where is Aditya Sengupta located?

Aditya Sengupta practices at 11970 N Central Expy Ste 510, Dallas, TX 75243. The listed phone number is (347) 920-6174.

What is Aditya Sengupta's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Aditya Sengupta enrolled in Medicare?

Yes. Aditya Sengupta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Aditya Sengupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aditya Sengupta reassigns Medicare benefits to North Texas Heart Surgery Center, PLLC (Dallas, TX). The 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 Aditya Sengupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aditya Sengupta 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 4 other insurers list Aditya Sengupta 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.

When was this NPI record last updated?

The NPPES record for Aditya Sengupta was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.