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: July 19, 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 29

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
4,200 services42 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.
369 services369 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.
369 services369 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
190 services169 patients
Complete ultrasound scan of 1 breast 76641
A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.
182 services181 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.
158 services149 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 with the weekly NPPES data releases published by CMS.