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MINI GUPTA MD
NPI 1417919796
Internal Medicine - Nephrology in Austell, GA

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
1700 HOSPITAL SOUTH DR, SUITE 304, AUSTELL, GA 30106(770) 732-8464(770) 732-8462 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mini Gupta Md NPPES

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

MINI GUPTA MD (NPI 1417919796) is an individual nephrology provider in Austell, Georgia, licensed in Georgia (055949) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1417919796
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameMINI GUPTACredential: MD
Location Address1700 HOSPITAL SOUTH DR, SUITE 304Austell, GA 30106-6810
Mailing Address1810 Mulkey Rd, Suite103Austell, GA 30106-1151
Phone(770) 732-8464
Fax(770) 732-8462
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateApril 4, 2006
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1417919796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 055949
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 055949 (GA)
1700 HOSPITAL SOUTH DR, Austell, GA 30106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Mini Gupta Md 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 ID446206304
PECOS Enrollment IDI20050324000263
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 7

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
206 services110 patients
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.
204 services95 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.
96 services38 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
94 services13 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
46 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
0%433 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
25%83 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
9%243 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
67%39 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
87%1,542 patients4/55-star benchmark: 100%
e-Prescribing
99%500 patients4/55-star benchmark: 100%
HIV Screening
5%153 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
19%435 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
19%1,105 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
84%229 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%21 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 309 patients
Patients totalRate: 0% · 309 patients
0%309 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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. COLETTE M TETREAULT CNM
Advanced Practice Midwife
1700 HOSPITAL SOUTH DR, SUITE 500
AUSTELL, GA 30106
Cobb County (770) 941-7717
THE HEART CLINIC, P.C.
Internal Medicine (Cardiovascular Disease)
1700 HOSPITAL SOUTH DR, SUITE 302
AUSTELL, GA 30106
Cobb County (770) 739-0999
MRS. STEPHANIE R BONHAUS CNM
Advanced Practice Midwife
1700 HOSPITAL SOUTH DR, SUITE 500
AUSTELL, GA 30106
Cobb County (771) 941-7717
EMILY A GOOLSBY CNM
Advanced Practice Midwife
1700 HOSPITAL SOUTH DR, SUITE 500
AUSTELL, GA 30106
Cobb County (770) 941-7717
MR. MICHAEL DAMIEN RODRIGUEZ MSW
Social Worker (Clinical)
1700 HOSPITAL SOUTH DR, SUITE 102
AUSTELL, GA 30106
Cobb County (770) 948-3233
DR. JACOB NATHAN BLATT M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
1700 HOSPITAL SOUTH DR, SUITE 409
AUSTELL, GA 30106
Cobb County (770) 424-6893
JEFFREY F HINES MD
Obstetrics & Gynecology (Gynecologic Oncology)
1700 HOSPITAL SOUTH DR, SUITE 102
AUSTELL, GA 30106
Cobb County (770) 792-6262
DR. MICAH R. TEPPER M.D.
Internal Medicine (Cardiovascular Disease)
1700 HOSPITAL SOUTH DR, SUITE 409
AUSTELL, GA 30106
Cobb County (770) 732-9100

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 Mini Gupta's NPI number?

The NPI number for Mini Gupta is 1417919796. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Mini Gupta located?

Mini Gupta practices at 1700 Hospital South Dr Suite 304, Austell, GA 30106. The listed phone number is (770) 732-8464.

What is Mini Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mini Gupta enrolled in Medicare?

Yes. Mini 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.

What insurance does Mini Gupta accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mini Gupta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mini Gupta affiliated with any hospitals?

According to CMS data, Mini Gupta is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center, Wellstar Cobb Medical Center and Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Mini Gupta was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.