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TANKALA SHANTAL GUPTA MBBS
NPI 1417364159
Internal Medicine in Washington, DC

Active since July 15, 2014PECOS EnrolledAccepts Medicare Assignment
88.23/100
CMS Quality Rating
110 IRVING ST NW, WASHINGTON, DC 20010(832) 212-0628 Get Directions Write a Review

NPPES record last updated: December 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tankala Shantal Gupta Mbbs NPPES

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

TANKALA SHANTAL GUPTA MBBS (NPI 1417364159) is an individual internal medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD045038) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1417364159
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTANKALA SHANTAL GUPTACredential: MBBS
Location Address110 IRVING ST NWWashington, DC 20010-3017
Mailing Address2400 16th St Nw Apt 607Washington, DC 20009-6629 · (832) 212-0628
Phone(832) 212-0628
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 15, 2014
Last NPPES UpdateDecember 14, 2017
✔ NPI 1417364159 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 DC · MD045038
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
110 IRVING ST NW, Washington, DC 20010
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

Tankala Shantal Gupta Mbbs 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 ID2264798297
PECOS Enrollment IDI20171108001235
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.
363 services112 patients
Evaluation of lower heart chamber assist device 93750
An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.
175 services30 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.
46 services43 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.
31 services29 patients

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

88.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.93
Promoting Interoperability100
Improvement Activities40
Cost60

Referred Medical Equipment & Supplies CMS DME claims 3

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers39 claims40 services$18.06 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
2 suppliers44 claims77 services$33.47 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
2 suppliers40 claims1,592 services$1.28 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.

MS. JANET E JUMPER N.P.
Nurse Practitioner (Acute Care)
110 IRVING ST NW, 4B42
WASHINGTON, DC 20010
District of Columbia (202) 877-7462
EMILY JEAN SIEGEL MD
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-8080
KIMBERLY SMITH
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (301) 902-1073
MISS ORE-OLUWA ODULANA LIMA DA SILVA CRNA
Nurse Anesthetist, Certified Registered
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7504
DR. FAY HORNG M.D.
Anesthesiology
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7504
DR. MICHAEL B SHVARTS MD
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7000
DR. SCOTT THOMAS MARTYNA D.M.D.
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW, DEPT. OF ORAL AND MAXILLOFACIAL SURGERY
WASHINGTON, DC 20010
District of Columbia (202) 877-7332
MS. NOOR-UL-HUDA AMER MEHDI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7000

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 Tankala Gupta's NPI number?

The NPI number for Tankala Gupta is 1417364159. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Where is Tankala Gupta located?

Tankala Gupta practices at 110 Irving St NW, Washington, DC 20010. The listed phone number is (832) 212-0628.

What is Tankala Gupta's specialty?

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

Is Tankala Gupta enrolled in Medicare?

Yes. Tankala 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 Tankala Gupta affiliated with any hospitals?

According to CMS data, Tankala Gupta is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Tankala Gupta was last updated on December 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.