DR. MALA R GUPTA M.D.
NPI 1376572842
Internal Medicine in Rochester, NY

Q: What is Mala Gupta's NPI number?

The NPI number for Mala Gupta is 1376572842. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Q: What is Mala 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 Mala Gupta was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 30, 2006PECOS EnrolledAccepts Medicare Assignment

76.84/100

CMS Quality Rating

2400 S CLINTON AVE, BLDG G-2, ROCHESTER, NY 14618(585) 341-7683(585) 341-4220 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Mala R Gupta M.d. NPPES

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

DR. MALA R GUPTA M.D. (NPI 1376572842) is an individual internal medicine provider in Rochester, New York, licensed in New York (161876) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1981).

NPPES Registry Identity

NPI1376572842

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. MALA R GUPTACredential: M.D.

Location Address2400 S CLINTON AVE, BLDG G-2Rochester, NY 14618-2668

Mailing Address601 Elmwood Ave, Box 278980Rochester, NY 14642-0001

Phone(585) 341-7683

Fax(585) 341-4220

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1981

Enumeration DateJune 30, 2006

Last NPPES UpdateJuly 5, 2023

✔ NPI 1376572842 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 NY · 161876

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 ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 161876 (NY)

2400 S CLINTON AVE, Rochester, NY 14618

Open in Google Maps ↗

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

Dr. Mala R 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 ID244274090

PECOS Enrollment IDI20050614000089

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.

65 services37 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.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Highland Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330164

Location1000 South AvenueRochester, NY 14617 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14618 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 $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

76.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.2

Promoting Interoperability

100

Improvement Activities

Cost

42.68

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.

MEGAN M TERWILLIGER MD

Internal Medicine

2400 S CLINTON AVE, BUILDING H, SUITE 210
ROCHESTER, NY 14618

Monroe County (585) 341-7299

BRIAN K STEELE D.O.

Family Medicine

2400 S CLINTON AVE, BLDG H STE 230
ROCHESTER, NY 14618

Monroe County (585) 341-7210

MICHAEL S KRASNER M.D.

Internal Medicine

2400 S CLINTON AVE, BLDG H SUITE 230
ROCHESTER, NY 14618

Monroe County (585) 341-7230

DR. BETTY RABINOWITZ M.D.

Internal Medicine

2400 S CLINTON AVE, BLDG G-2
ROCHESTER, NY 14618

Monroe County (585) 341-7685

DAVID L HAMILTON M.D.

Internal Medicine

2400 S CLINTON AVE, BLDG H SUITE 230
ROCHESTER, NY 14618

Monroe County (585) 341-7220

JUSTIN ZELENKA MD

Internal Medicine

2400 S CLINTON AVE, BUILDING H, SUITE 230
ROCHESTER, NY 14618

Monroe County (585) 341-7220

RICHARD E ABBOTT M.D.

Internal Medicine

2400 S CLINTON AVE
ROCHESTER, NY 14618

Monroe County (585) 244-7204

ANN R SHAMASKIN M.D.

Internal Medicine

2400 S CLINTON AVE, BLDG H SUITE 210
ROCHESTER, NY 14618

Monroe County (585) 341-7299

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 Mala Gupta's NPI number?

The NPI number for Mala Gupta is 1376572842. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Mala Gupta located?

Mala Gupta practices at 2400 S Clinton Ave Bldg G-2, Rochester, NY 14618. The listed phone number is (585) 341-7683.

What is Mala Gupta's specialty?

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

Is Mala Gupta enrolled in Medicare?

Yes. Mala 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.

Is Mala Gupta affiliated with any hospitals?

According to CMS data, Mala Gupta is affiliated with Highland Hospital.

When was this NPI record last updated?

The NPPES record for Mala Gupta was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.