DR. SANJAY KUMAR GUPTA M.D.
NPI 1376628800
Radiology - Diagnostic Radiology in New City, NY

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
87.72/100
CMS Quality Rating
18 SQUADRON BLVD, NEW CITY, NY 10956(845) 634-9729 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sanjay Kumar Gupta M.d. NPPES

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

DR. SANJAY KUMAR GUPTA M.D. (NPI 1376628800) is an individual diagnostic radiology provider in New City, New York, licensed in New York (227969) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Pennsylvania (1998).

NPPES Registry Identity

NPI1376628800
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. SANJAY KUMAR GUPTACredential: M.D.
Location Address18 SQUADRON BLVDNew City, NY 10956-5210
Mailing Address18 Squadron BlvdNew City, NY 10956-5210 · (845) 634-9729
Sole ProprietorYes
Medical School CMSMedical College Of PennsylvaniaGraduated 1998
Enumeration DateOctober 25, 2006
Last NPPES UpdateApril 30, 2015
NPI 1376628800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NY · 227969
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
18 SQUADRON BLVD, New City, NY 10956

Other Identifiers 3

Medicare UPINE92176
Medicare ID-Type Unspecified667T01
Medicaid02529528NY

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. Sanjay Kumar 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 ID7214929876
PECOS Enrollment IDI20040401001595
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 19

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.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
795 services795 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
309 services309 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
309 services309 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
108 services108 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
58 services41 patients
Mri scan of leg joint without contrast 73721
An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
50 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10956 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

87.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Promoting Interoperability100
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.

Radiology (Diagnostic Radiology)
18 SQUADRON BLVD
NEW CITY, NY 10956
Radiology (Diagnostic Radiology)
18 SQUADRON BLVD
NEW CITY, NY 10956
Radiology (Diagnostic Radiology)
18 SQUADRON BLVD
NEW CITY, NY 10956
Radiology (Diagnostic Radiology)
18 SQUADRON BLVD
NEW CITY, NY 10956
Radiology (Diagnostic Radiology)
18 SQUADRON BLVD
NEW CITY, NY 10956
Radiology (Diagnostic Radiology)
18 SQUADRON BLVD
NEW CITY, NY 10956
Radiology (Diagnostic Radiology)
18 SQUADRON BLVD
NEW CITY, NY 10956
Radiology (Diagnostic Radiology)
18 SQUADRON BLVD
NEW CITY, NY 10956

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 Sanjay Gupta's NPI number?

The NPI number for Sanjay Gupta is 1376628800. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Sanjay Gupta located?

Sanjay Gupta practices at 18 Squadron Blvd, New City, NY 10956. The listed phone number is (845) 634-9729.

What is Sanjay Gupta's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sanjay Gupta enrolled in Medicare?

Yes. Sanjay 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 Sanjay Gupta was last updated on April 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.