GAUTAM GUPTA
NPI 1356728869
Internal Medicine in Passaic, NJ

Q: What is Gautam Gupta's NPI number?

The NPI number for Gautam Gupta is 1356728869. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Q: What is Gautam Gupta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gautam Gupta was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 05, 2015PECOS EnrolledAccepts Medicare Assignment

350 BOULEVARD, PASSAIC, NJ 07055(973) 365-4000 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2021, Mar 1, 2021, Feb 25, 2021 and 2 more (5 updates tracked since 2018).

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About Gautam Gupta NPPES

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

GAUTAM GUPTA (NPI 1356728869) is an individual internal medicine provider in Passaic, New Jersey, licensed in New Jersey (25MA10368900) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1356728869

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameGAUTAM GUPTA

Location Address350 BOULEVARDPassaic, NJ 07055-2840

Mailing Address1122 53rd St Apt 507North Bergen, NJ 07047-3158 · (240) 408-6889

Phone(973) 365-4000

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateMay 5, 2015

Last NPPES UpdateMarch 26, 20215 updates tracked since enumeration

NPPES CertifiedMarch 12, 2021

✔ NPI 1356728869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · 25MA10368900

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

350 BOULEVARD, Passaic, NJ 07055

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Secondary Practice Locations 3

Location 117716 Phelps Hill LnDerwood, MD 20855 · Phone (301) 740-3192

Location 21122 53rd St Apt 507North Bergen, NJ 07047-3158 · Phone (240) 408-6889

Location 31715 US Highway 46 Apt 463Parsippany, NJ 07054-2976 · Phone (240) 408-6889

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

Gautam 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 ID8921359654

PECOS Enrollment IDI20181004002186

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 4

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 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.

553 services123 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.

94 services91 patients

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.

79 services32 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.

54 services51 patients

Hospital Affiliations CMS Care Compare 2

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310012

Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County

Emergency services Birthing friendly

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07055 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier15 claims15 services$16.07 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers29 claims31 services$81.61 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 20

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

ASHWIN NELLIPARAMBIL JITHEESH

Student in an Organized Health Care Education/Training Program

350 BOULEVARD, ST. MARY'S HOSPITAL MEMORIAL BUILDING, ROOM 416
PASSAIC, NJ 07055

Passaic County (404) 503-3936

BAY RADIATION ONCOLOGY,P.L.L.C

Radiology (Therapeutic Radiology)